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ELLEN COOPERRIDER LCSW
NPI 1215579990
Social Worker in Orange Park, FL

Active since October 14, 2019PECOS EnrolledAccepts Medicare Assignment
2300 PARK AVE STE 205, ORANGE PARK, FL 32073(904) 308-3751(904) 308-6890 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2019, Oct 14, 2019 (2 updates tracked since 2019).

About Ellen Cooperrider Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN COOPERRIDER LCSW (NPI 1215579990) is an individual social worker in Orange Park, Florida, licensed in Florida (SW15691) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Southside, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215579990
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameELLEN COOPERRIDERCredential: LCSW
Location Address2300 PARK AVE STE 205Orange Park, FL 32073-5573
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(904) 308-3751
Fax(904) 308-6890
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 14, 2019
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
✔ NPI 1215579990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in FL · SW15691
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2300 PARK AVE STE 205, Orange Park, FL 32073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Cooperrider Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759714082
PECOS Enrollment IDI20191127001031
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA CASTANO
Physician Assistant
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 272-0384
JOHNIQUE C BENNETT M.D.
Family Medicine
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 272-0384
DR. JACQUELINE RODRIGUEZ GILMORE MD
Student in an Organized Health Care Education/Training Program
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 272-0384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Cooperrider's NPI number?

The NPI number for Ellen Cooperrider is 1215579990. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Ellen Cooperrider located?

Ellen Cooperrider practices at 2300 Park Ave Ste 205, Orange Park, FL 32073. The listed phone number is (904) 308-3751.

What is Ellen Cooperrider's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ellen Cooperrider enrolled in Medicare?

Yes. Ellen Cooperrider is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Cooperrider accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Ellen Cooperrider as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ellen Cooperrider affiliated with any hospitals?

According to CMS data, Ellen Cooperrider is affiliated with Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Ellen Cooperrider was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.