Individual provider Active NPI

Maria Deoca Corwin, PH.D LCSW

  • Clinical Social Worker
  • Bordentown, NJ
National Provider Identifier
1013120955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01379300 Issued in NJ
Practice address
410 Farnsworth Ave
Bordentown Counseling Center
Bordentown, NJ 08505-2005
Phone
(609) 298-9144
Fax
(609) 298-9288
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC01379300 NJ Primary

Addresses

Primary practice location

410 Farnsworth Ave
Bordentown Counseling Center
Bordentown, NJ 08505-2005

Mailing address

14 Willow Rd
Lawrenceville, NJ 08648-1620
Phone (609) 896-2738

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC01379300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013120955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILLOW RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481620",
            "telephone_number": "609-896-2738",
            "fax_number": "609-896-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FARNSWORTH AVE",
            "address_2": "BORDENTOWN COUNSELING CENTER",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052005",
            "telephone_number": "609-298-9144",
            "fax_number": "609-298-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "MARIA",
        "middle_name": "DEOCA",
        "name_prefix": "Dr.",
        "credential": "PH.D  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01379300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.