Individual provider Active NPI

Lisa Couser, LCSW

  • Clinical Social Worker
  • Glenmoore, PA
National Provider Identifier
1891574158
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017928 Issued in PA
Practice address
80 Messner LN
Glenmoore, PA 19343-1730
Phone
(484) 364-1287
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 CW017928 PA Primary

Addresses

Primary practice location

80 Messner LN
Glenmoore, PA 19343-1730

Mailing address

80 Messner LN
Glenmoore, PA 19343-1730
Phone (484) 364-1287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 20, 2023 through Sep 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW017928PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1891574158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MESSNER LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431730",
            "telephone_number": "484-364-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MESSNER LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431730",
            "telephone_number": "484-364-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSER",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

Verify at the official NPI Registry.