Individual provider Active NPI

Caroline Corzine, LCSW

  • Clinical Social Worker
  • Waxhaw, NC
National Provider Identifier
1003202979
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008385 Issued in NC
Practice address
409 Amersham LN
Waxhaw, NC 28173-6607
Phone
(610) 585-0850
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 C008385 NC Primary

Addresses

Primary practice location

409 Amersham LN
Waxhaw, NC 28173-6607

Mailing address

1211 Holleybank Dr
Matthews, NC 28105-9121
Phone (610) 585-0850

Other practice location 1

769 N Wendover Rd
Charlotte, NC 28211-1118
Phone (704) 376-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003202979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HOLLEYBANK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059121",
            "telephone_number": "610-585-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 AMERSHAM LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736607",
            "telephone_number": "610-585-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 N Wendover Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111118",
            "country_code": "US",
            "telephone_number": "704-376-7180",
            "fax_number": "704-531-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORZINE",
        "first_name": "CAROLINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.