Jessica Corbitt
Individual provider Active NPI Clinical Social Worker · Covington, TN
NPI 1114115185 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1114115185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5250 (TN)
- Practice address
- 1997 Highway 51 S
Covington, TN 38019-3630 - Phone
- (901) 476-8967
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5250 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCS, PC | Clinical | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5250 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5250 | Other | TN | LCSW |
Other providers in Covington, TN
- Floyd Wayne Conley
- David Cook
- Tamara S Cooper
- Tanya Nicole Cooper
- Kathleen Jo Cope
- Jessica Cottrell
- County of Tipton Board of Education Superintendent of Schools
- Covington Care Nursing and Rehabilitation Center LLC
- Covington Family Dental, Inc
- Covington Health Care and Rehabilitation Inc
All providers in Covington, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.