Individual ProviderNicole Renee CochranSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311(970) 494-5891PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Renee Cochran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104309723Provider TypeIndividualFull NameCochran, Nicole ReneeCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date9/10/2018Last Updated10/30/2020Contact InformationPractice LocationPractice Address1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311Phone(970) 494-5891Fax(970) 494-5895Mailing LocationMailing Address1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311Phone(970) 494-5891Fax(970) 494-5895Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09926761Colorado