Pamela Goodfriend Cooper, LCSW, CAC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

575 Issued in CO

Practice address

3570 E 12TH Ave
303
Denver, CO 80206-3434

Phone

(303) 269-1191

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pamela Cooper LCSW Cac III LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1447655170
  Medicare reassignment NPD
• Pamela Goodfriend, LCSW, Cac III, LLC

  • Clinical Social Worker
  • Arvada, CO
  • NPI 1265625800
  NPD
• Home Psychotherapy Alliance Corp

  • Community/Behavioral Health Agency
  • Arvada, CO
  • NPI 1326325887
  NPD (past)
• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1700940368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 EISENHOWER DR",
            "address_2": "#137",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271152",
            "telephone_number": "303-269-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE",
            "address_2": "303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063434",
            "telephone_number": "303-269-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAMELA",
        "middle_name": "GOODFRIEND",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C809003",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "405164",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynnette Cooper, L.P.C.
• Margaret Cooper, R.N.
• Michael A Cooper, MD
• Michele Jacqueline Cooper, BA
• Olivia Cooper, PT, DPT
• Suzanne Beth Schimmel Cooper, PH.D.
• Tarrah Lynn Bobay Cooper, CRNA
• Theodore Cooper, M.D.
• Theresa L. Cooper, RN
• Spencer Cooperman, D.O.

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.