Individual provider Active NPI

Corey Nicole Smith

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1124769690
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06577100 Issued in NJ
Practice address
270 NJ-35
Red Bank, NJ 07701
Phone
(732) 842-2000
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SL06577100 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00345300 NJ

Addresses

Primary practice location

270 NJ-35
Red Bank, NJ 07701

Mailing address

270 NJ-35
Red Bank, NJ 07701-0770
Phone (732) 842-2000

Other practice location 1

971 US Highway 202 N # 5422
Branchburg, NJ 08876-3757
Phone (609) 599-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230328002489 NJ Practitioner - Clinical Social Worker 6608240973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

4539 US Hwy 9
Howell, NJ 07731-3380
Phone (732) 987-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00345300NJMDAddiction (Substance Use Disorder) Counselor
44SL06577100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CPC Behavioral Healthcare, Inc CurrentSince May 1, 2023 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients
CPC Integrated Health, Inc. Current Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Feb 17, 2023 Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

4539 US Highway 9
Howell, NJ 07731
Phone (732) 901-5553

303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800

183 S Orange Ave
Fl E
Newark, NJ 07103

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

270 State Route 35
Red Bank, NJ 07701
Phone (732) 842-2000

Organizations & group practices 4

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1124769690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 NJ-35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010770",
            "telephone_number": "732-842-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NJ-35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-842-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 US Highway 202 N # 5422",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763757",
            "country_code": "US",
            "telephone_number": "609-599-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COREY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06577100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00345300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.