Active NPI
Tressa Anita Corbett, LCSW, LCAS
- Clinical Social Worker
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009938
- Practice address
- 175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951 - Phone
- (336) 718-3550
- Fax
- (336) 277-6981
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P007559 | NC | |
| Clinical Social Worker | 1041C0700X | C009938 | NC | Primary |
Addresses
Primary practice location
175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-3550
Other practice location 1
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Phone (980) 302-8850
Other practice location 2
962 S Fayetteville St
Asheboro, NC 27203-6591
Phone (336) 626-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009938 | NC | MD | Clinical Social Worker |
| P007559 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Margaret Bowen MD PLLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1449 Freeway Dr
Ste F
Reidsville, NC 27320
Phone (336) 280-0595
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
Interoperability endpoints
- tcorbett1596815@direct.novanthealth.org
Organizations & group practices 5
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- General Practice Physician
- Reidsville, NC
- NPI 1265949788
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1346427200
-
- Psychiatry Physician
- Huntersville, NC
- NPI 1588387211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1114265337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-718-3550",
"fax_number": "336-277-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 KIMEL PARK DR STE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036951",
"telephone_number": "336-718-3550",
"fax_number": "336-277-6981"
}
],
"practiceLocations": [
{
"address_1": "3545 Whitehall Park Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282734179",
"country_code": "US",
"telephone_number": "980-302-8850",
"fax_number": "704-316-8118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "962 S Fayetteville St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272036591",
"country_code": "US",
"telephone_number": "336-626-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBETT",
"first_name": "TRESSA",
"middle_name": "ANITA",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P007559",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.