Active NPI
Melissa Coopersmith, LCSW BCD
- Social Worker
- Elkins Park, PA
National Provider Identifier
1144429010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW013059
- Practice address
- 650 Foxcroft Road
Elkins Park, PA 19027 - Phone
- (215) 886-4089
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW013059 | PA | Primary |
Addresses
Primary practice location
650 Foxcroft Road
Elkins Park, PA 19027
Mailing address
650 Foxcroft Road
Elkins Park, PA 19027
Phone (215) 886-4089
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1144429010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 FOXCROFT ROAD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-886-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FOXCROFT ROAD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-886-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERSMITH",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "LCSW BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW013059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.