Individual provider Active NPI

Megan Elizabeth Cooper, LICSW

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1083003164
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080826 Issued in DC
Practice address
4860 S Palmer Rd
Bethesda, MD 20889-5649
Phone
(301) 319-2792
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50080826 DC Primary

Addresses

Primary practice location

4860 S Palmer Rd
Bethesda, MD 20889-5649

Mailing address

2812 Bosworth LN
Bowie, MD 20715-2401
Phone (301) 440-0577

Other practice location 1

498 Tanglewood Dr
Sykesville, MD 21784-8960
Phone (301) 440-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080826DCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1083003164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BOSWORTH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152401",
            "telephone_number": "301-440-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 S PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895649",
            "telephone_number": "301-319-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "498 Tanglewood Dr",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217848960",
            "country_code": "US",
            "telephone_number": "301-440-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.