Individual provider Active NPI

Devin Coogan

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1740762327
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8961 Issued in WI
Practice address
1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002
Phone
(608) 561-7533
NPI assigned
Aug 30, 2018
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 8961 WI Primary

Addresses

Primary practice location

1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002

Mailing address

1328 Bishops Lodge Rd
Santa Fe, NM 87506-0002
Phone (505) 231-6658

Other practice location 1

1015 Gammon Ln
Madison, WI 53719-2210
Phone (608) 417-8144

Other practice location 2

313 Price Pl Ste 10
Madison, WI 53705-3250
Phone (608) 231-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20221020002300 WI Practitioner - Clinical Social Worker 2466828272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

302 Van Deusen St
Madison, WI 53715-2067
Phone (505) 231-6658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8961WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metta Bhavana LLC CurrentSince Apr 16, 2023 Accepting new patients
Midwest Center for Human Services LLP Clinical PastSince Jan 1, 2003 Accepting new patients

Locations

330 W Lakeside St
Madison, WI 53715
Phone (608) 561-7533

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1740762327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 BISHOPS LODGE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060002",
            "telephone_number": "505-231-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 BISHOPS LODGE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060002",
            "telephone_number": "608-561-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Gammon Ln",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537192210",
            "country_code": "US",
            "telephone_number": "608-417-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Price Pl Ste 10",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537053250",
            "country_code": "US",
            "telephone_number": "608-231-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "DEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.