Elizabeth Nicole Cowley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34012130A Issued in IN

Practice address

402 Wall St Ste 42
Valparaiso, IN 46383-2572

Phone

(219) 510-8043

Fax

(219) 510-8044

NPI assigned

Dec 15, 2021

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 names 1

• Elizabeth Nicole Bogunovich Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life and Trauma Survivor Center LLCGroup PAC ID 7517487382, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Life and Trauma Survivor Center LLC

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1619432119

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1861151953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 WARREN ST",
            "city": "LAKE STATION",
            "state": "IN",
            "postal_code": "464052532",
            "telephone_number": "219-743-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WALL ST STE 42",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832572",
            "telephone_number": "219-510-8043",
            "fax_number": "219-510-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLEY",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecowley@lifeandtrauma.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 Wall St Ste 42",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463832572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BOGUNOVICH",
            "middle_name": "NICOLE",
            "credential": "BSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jessica Coslet
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• Shannon Brook Costella, MSPT, CERT MDT
• Kelly Coulopoulos
• Daniel R Cozadd, DO
• Susan Lynn Crabtree-Timmons, M.A., CCC-SLP
• Christine M Craigin, MS
• Amber Crandall
• Jennifer Renee Crayne, FNP-C

• Clinical Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.