Healthcare Provider Details

I. General information

NPI: 1912838863
Provider Name (Legal Business Name): ELIZABETH KORVER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 3RD ST STE 400
MONUMENT CO
80132-8179
US

IV. Provider business mailing address

1085 BECKTON HTS APT 205
COLORADO SPRINGS CO
80907-6575
US

V. Phone/Fax

Practice location:
  • Phone: 719-259-4951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009925460
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: