Individual provider Active NPI

Catherine A Corbett, LCSW

  • Clinical Social Worker
  • Vernon Hills, IL
National Provider Identifier
1124196837
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009441 Issued in IL
Practice address
10 W Phillip Rd
Suite 107
Vernon Hills, IL 60061-1799
Phone
(847) 918-0146
Fax
(847) 918-0747
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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 149009441 IL Primary

Addresses

Primary practice location

10 W Phillip Rd
Suite 107
Vernon Hills, IL 60061-1799

Mailing address

245 Dunton CT
Mundelein, IL 60060-4550
Phone (847) 918-0146

Other identifiers 1

IdentifierTypeStateIssuer
04932076OtherBLUE CROSS

Other names 1

  • Catherine Corbett Block Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20120518000134 IL Practitioner - Clinical Social Worker 4688837206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 W Phillip Rd
Suite 107
Vernon Hills, IL 60061-1730
Phone (847) 918-0146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149009441ILMDClinical Social Worker
40QA01890200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MRB Counseling, SC Clinical CurrentSince Jan 20, 2012 Accepting new patients
Catherine Corbett LCSW LLC Clinical CurrentSince Jan 20, 2012 Accepting new patients

Locations

10 W Phillip Rd
Ste 107
Vernon Hills, IL 60061
Phone (847) 918-0129

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1124196837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 DUNTON CT",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604550",
            "telephone_number": "847-918-0146",
            "fax_number": "847-918-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 107",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-918-0146",
            "fax_number": "847-918-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04932076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BLOCK",
            "middle_name": "CORBETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.