Timothy Lee Corbley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09926670 Issued in CO

Practice address

8435 Packard LN
Green Mountain Falls, CO 80819-5092

Phone

(719) 661-5326

NPI assigned

Dec 26, 2022

Last updated

Dec 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CO

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bloom Wellness LLCGroup PAC ID 5294189080, 2 clinicians

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.

• Bloom Wellness LLC

  • Clinical Social Worker
  • Woodland Park, CO
  • NPI 1760177919
  Medicare reassignment Care Compare group NPD
• Bloom Wellness LLC

  • Clinical Social Worker
  • Green Mountain Falls, CO
  • NPI 1114723558
  NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1114630977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "808190611",
            "telephone_number": "719-661-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 PACKARD LN",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "808195092",
            "telephone_number": "719-661-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 W 58th Ave",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800021103",
            "country_code": "US",
            "telephone_number": "303-422-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBLEY",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Beard, PT
• Kevin Bishop, LCSW
• Bloom Wellness LLC
• Orrin Odell Childers Jr.
• Childrens Ark, Inc
• Everly Home Health Care, Inc.
• Mary Patrice Fehn, L.C.S.W.
• Linda Kay Franga, LPC
• Life Wheels on PC
• Laura Morgan, PT

• Clinical Social Worker in Green Mountain Falls, CO
• Providers in Green Mountain Falls, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.