Individual provider Active NPI

Elizabeth Cop

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1831762954
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11739 Issued in NM
Practice address
4331 State Highway 14
Santa Fe, NM 87508-1530
Phone
(505) 827-8757
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 C-11739 NM Primary

Addresses

Primary practice location

4331 State Highway 14
Santa Fe, NM 87508-1530

Mailing address

7409 Wolf Creek Rd
Santa Fe, NM 87507-8108
Phone (505) 946-8678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.cop@state.nm.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210921000934 NM Practitioner - Clinical Social Worker 0345647202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite B
Santa Fe, NM 87505-2167
Phone (505) 913-3056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Sep 27, 2021 Accepting new patients
St. Vincent Hospital CurrentSince Sep 27, 2021 Accepting new patients
St Vincent Hospital Current Accepting new patients

Locations

2019 Galisteo St
Ste B
Santa Fe, NM 87505
Phone (505) 913-3056

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

Organizations & group practices 4

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1831762954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 WOLF CREEK RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078108",
            "telephone_number": "505-946-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 STATE HIGHWAY 14",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081530",
            "telephone_number": "505-827-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COP",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.cop@state.nm.us",
            "affiliation": "N",
            "address_1": "4331 State Highway 14",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875081530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.