Individual provider Active NPI

Corey G Toby, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1003199985
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.009882 Issued in CT
Practice address
181 Post Rd W
Westport, CT 06880-4626
Phone
(203) 434-6337
Fax
(203) 886-1121
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 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 58.009882 CT Primary

Addresses

Primary practice location

181 Post Rd W
Westport, CT 06880-4626

Mailing address

52 Jackson PL
White Plains, NY 10603-3027
Phone (203) 434-6337

Other identifiers 1

IdentifierTypeStateIssuer
008074755MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20171003003875 CT Practitioner - Clinical Social Worker 2961777834 Practice locations: Westport, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

181 Post Rd W
Westport, CT 06880-4626
Phone (203) 434-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.009882CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County, Inc. PastSince Sep 8, 2003 Accepting new patients
Catholic Charities of Fairfield County Inc PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 2

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1003199985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 JACKSON PL",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033027",
            "telephone_number": "203-434-6337",
            "fax_number": "203-886-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804626",
            "telephone_number": "203-434-6337",
            "fax_number": "203-886-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBY",
        "first_name": "COREY",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-04-03",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.009882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008074755",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.