Individual provider Active NPI

Elizabeth Cooper, LICSW

  • Clinical Social Worker
  • Wolfeboro, NH
National Provider Identifier
1326633892
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2458 Issued in NH
Practice address
16 Elm Street
Suite E
Wolfeboro, NH 03894-1691
Phone
(603) 810-0403
NPI assigned
Mar 5, 2021
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05663000 NJ
Clinical Social Worker 1041C0700X 2458 NH Primary

Addresses

Primary practice location

16 Elm Street
Suite E
Wolfeboro, NH 03894-1691

Mailing address

11 N Line Rd
Wolfeboro, NH 03894-4511
Phone (603) 810-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05663000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
White Horse Addiction Center Inc. CurrentSince Sep 25, 2023 Accepting new patients
R. L. Cogswell & Associates PastSince Sep 25, 2023 Accepting new patients
Be Brave Counseling Clinical Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1326633892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N LINE RD",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944511",
            "telephone_number": "603-810-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ELM STREET",
            "address_2": "SUITE E",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941691",
            "telephone_number": "603-810-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05663000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.