Jennifer D Corbit, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

864 Issued in NH

Practice address

57 School St
Concord, NH 03301-3930

Phone

(515) 635-5267

NPI assigned

Sep 1, 2006

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Aug 9, 2023 through Aug 9, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1093817264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SCHOOL ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013930",
            "telephone_number": "515-635-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SCHOOL ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013930",
            "telephone_number": "515-635-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIT",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coppola Physical Therapy Ferry
• John Coppola, M.A.
• Steven Coppola, MS, PT
• Shannon Lee Corbeil
• Jeffrey P Corbett, DO
• Mary Susan Corliss, NP-C
• Maya Strod Cormack, MS
• Kyle R Cornell, DO
• Cornerstone Center PC (Cornerstone Family Resources)
• Cornerstone Periodontics and Implants PLLC

• Clinical Social Worker in Concord, NH
• Providers in Concord, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.