Individual provider Active NPI

Edward William McCorry, LCSWR, BCD

  • Clinical Social Worker
  • Latham, NY
National Provider Identifier
1104973718
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R054636-1 Issued in NY
Practice address
8 Stanley Cir
Latham, NY 12110-2606
Phone
(518) 786-0663
Fax
(518) 786-0917
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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 R054636-1 NY Primary

Addresses

Primary practice location

8 Stanley Cir
Latham, NY 12110-2606

Mailing address

8 Stanley Cir
Latham, NY 12110-2606
Phone (518) 786-0663

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
R054636-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bharat Langer, MD PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1104973718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STANLEY CIR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102606",
            "telephone_number": "518-786-0663",
            "fax_number": "518-786-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STANLEY CIR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102606",
            "telephone_number": "518-786-0663",
            "fax_number": "518-786-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORRY",
        "first_name": "EDWARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSWR, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R054636-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.