MEDICARE: CAROL COCHARD POOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1114887536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL COCHARD POOL

Provider Business Mailing Address
First Line	:	1942 VALLEY BROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-9716
Country	:	US
Telephone Number	:	317-326-8378
Fax Number	:

Provider Business Practice Location Address
First Line	:	1942 VALLEY BROOK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-9716
Country	:	US
Telephone Number	:	317-326-8378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “ CAROL COCHARD POOL ” Practice Location

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