Sally A. Corby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-013300 Issued in IL

Practice address

44 E Main St
Ste. 406
Champaign, IL 61820-3636

Phone

(217) 398-9066

Fax

(217) 398-9077

NPI assigned

Sep 25, 2009

Last updated

Sep 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1093049975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "address_2": "STE. 406",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203636",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "address_2": "STE. 406",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203636",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBY",
        "first_name": "SALLY",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara L Cook, LCSW
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• Joseph Corbett, NP
• Michelle Lee Cordes, PHDH
• Thomas Cornelius
• Kaitlyn Cornell, LCSW
• Cornerstone Dental PLLC
• James B. Cornett, P.A.-C.

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.