Organization Active NPI

Susan Corbett Inc

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1053562744
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWL141 Issued in FL
Legal business name
SUSAN CORBETT INC
Practice address
4067A S Tamiami TRL
Sarasota, FL 34231-3623
Phone
(941) 926-8080
Fax
(888) 664-2547
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan Corbett, LCSW, BCD
Title
Psychotherapist
Phone
(941) 926-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SWL141 FL Primary

Addresses

Primary practice location

4067A S Tamiami TRL
Sarasota, FL 34231-3623

Mailing address

2247 Goldenrod St
Sarasota, FL 34239-5318
Phone (941) 926-8080

National Provider Directory

National Provider Directory

Locations

4067A S Tamiami Trl
Sarasota, FL 34231
Phone (941) 365-5955

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1053562744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 GOLDENROD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395318",
            "telephone_number": "941-926-8080",
            "fax_number": "888-664-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067A S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313623",
            "telephone_number": "941-926-8080",
            "fax_number": "888-664-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN CORBETT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "941-926-8080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SWL141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.