KATIE COCKRELL LCSW
NPI 1124416854
Social Worker - Clinical in Wheaton, IL

Q: What is Katie Cockrell's NPI number?

The NPI number for Katie Cockrell is 1124416854. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Q: What is Katie Cockrell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Katie Cockrell enrolled in Medicare?

No. Katie Cockrell has opted out of Medicare through December 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Katie Cockrell was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2015Opted out of Medicare · through Dec 6, 2026

2100 MANCHESTER RD STE 1510, WHEATON, IL 60187(630) 653-1717(630) 653-7926 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katie Cockrell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE COCKRELL LCSW (NPI 1124416854) is an individual clinical provider in Wheaton, Illinois, licensed in Illinois (149.016479) and active in the NPI registry since January 2015. She has opted out of Medicare through December 6, 2026.

NPPES Registry Identity

NPI1124416854

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATIE COCKRELLCredential: LCSW

Location Address2100 MANCHESTER RD STE 1510Wheaton, IL 60187-4561

Mailing Address2100 Manchester Rd Ste 1510Wheaton, IL 60187-4561 · (630) 653-1717 · Fax (630) 653-7926

Phone(630) 653-1717

Fax(630) 653-7926

Sole ProprietorYes

Enumeration DateJanuary 5, 2015

✔ NPI 1124416854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.016479

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2100 MANCHESTER RD STE 1510, Wheaton, IL 60187

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katie Cockrell Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2022 through December 6, 2026.

Opt-Out Effective DateDecember 6, 2022

Opt-Out In Effect ThroughDecember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERGIO MARTINEZ LSW, CADC

Counselor (Mental Health)