Individual provider Active NPI

Cori Elise Keberlein, LCSW

  • Clinical Social Worker
  • Hayden, CO
National Provider Identifier
1093458291
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09927691 Issued in CO
Practice address
335 Honeysuckle Dr
Hayden, CO 81639-8163
Phone
(845) 430-7766
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 09927691 CO Primary

Addresses

Primary practice location

335 Honeysuckle Dr
Hayden, CO 81639-8163

Mailing address

PO Box 1549
Hayden, CO 81639-1549
Phone (845) 430-7766

Other names 1

  • Courtney Elise Martin-Crawford Former name

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
09927691COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Root to Rise Counseling Colorado Clinical CurrentSince Jul 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1093458291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816391549",
            "telephone_number": "845-430-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HONEYSUCKLE DR",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816398163",
            "telephone_number": "845-430-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBERLEIN",
        "first_name": "CORI",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MARTIN-CRAWFORD",
            "middle_name": "ELISE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.