Individual provider Active NPI

Karmen Lisa Copes, LCSW

  • Clinical Social Worker
  • Haverford, PA
National Provider Identifier
1669185609
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023166 Issued in PA
Practice address
551 W Lancaster Ave Ste 300
Haverford, PA 19041-1419
Phone
(610) 892-3800
Fax
(484) 468-1412
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 CW023166 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave Ste 300
Haverford, PA 19041-1419

Mailing address

551 W Lancaster Ave Ste 300
Haverford, PA 19041-1419
Phone (610) 892-3800

Other practice location 1

1615 Pennington Rd
Philadelphia, PA 19151-2719
Phone (215) 834-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000026 PA Practitioner - Clinical Social Worker 0840663001 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 28, 2024 Accepting new patients
Vitae Health Medical Pennsylvania LLC Clinical CurrentSince Feb 15, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 2

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1669185609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE STE 300",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE STE 300",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Pennington Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191512719",
            "country_code": "US",
            "telephone_number": "215-834-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPES",
        "first_name": "KARMEN",
        "middle_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.