Individual provider Active NPI

Jessica Corbitt

  • Clinical Social Worker
  • Covington, TN
National Provider Identifier
1114115185
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5250 Issued in TN
Practice address
1997 Highway 51 S
Covington, TN 38019-3630
Phone
(901) 476-8967
NPI assigned
Oct 4, 2007
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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 5250 TN Primary

Addresses

Primary practice location

1997 Highway 51 S
Covington, TN 38019-3630

Mailing address

1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5250TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCS, PC Clinical CurrentSince Feb 1, 2025 Accepting new patients
180 Health Partners , Inc Clinical Past Accepting new patients

Locations

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

555 Marriott Dr
Ste 315
Nashville, TN 37214
Phone (615) 258-8400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1114115185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193630",
            "telephone_number": "901-476-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193630",
            "telephone_number": "901-476-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

Verify at the official NPI Registry.