Kelley A Corson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2063 Issued in NH

Practice address

221 Piscassic Rd
Newfields, NH 03856-8109

Phone

(603) 321-7305

NPI assigned

Nov 11, 2017

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Florida State University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kelley Corson Licsw LLC

  • Clinical Social Worker
  • Newfields, NH
  • NPI 1477316396
  Medicare reassignment NPD Authorized official
• Warren Street Family Counseling Assoc Inc

  • Mental Health Counselor
  • Concord, NH
  • NPI 1780754093
  Medicare reassignment NPD
• O'Quinn Counseling Services, LLC

  • Marriage & Family Therapist
  • Durham, NH
  • NPI 1184456048
  NPD (past)

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1114430246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038330761",
            "telephone_number": "978-378-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PISCASSIC RD",
            "city": "NEWFIELDS",
            "state": "NH",
            "postal_code": "038568109",
            "telephone_number": "603-321-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSON",
        "first_name": "KELLEY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Cardinale, MS, OTR/L
• Margaret Gates Conner
• DBT for You
• Sam Kistler Harmon
• Kristin S. Keenan, P.T.
• Kelley Corson Licsw LLC
• Kristin Keenan, P.T.

• Clinical Social Worker in Newfields, NH
• Providers in Newfields, 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 Feb 7, 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.

Verify at the official NPI Registry.