Shirley Ann Corley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95635 Issued in CA

Practice address

2409 Merced St Ste 106
Fresno, CA 93721-1829

Phone

(559) 981-2795

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Youth Services of Fresno, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1730213323
  NPD (past)
• Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1437328044
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1134481146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MERCED ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211829",
            "telephone_number": "559-981-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MERCED ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211829",
            "telephone_number": "559-981-2795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-9180",
            "fax_number": "559-253-9144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 N West Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937050946",
            "country_code": "US",
            "telephone_number": "559-229-3561 x127",
            "fax_number": "559-229-3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW62075",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gchanges.inc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2409 Merced St Ste 106",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937211829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Core Conditions, Inc.
• Core Conditions, Inc.
• Core Venture LLC
• Jena Rennee Corea
• Claudia Ann Corgiat, PHD
• Catherine Cormier-Farrell, RN
• Lawrence Josepj Cormier, LMFT
• Ryan Cornelison, RRT
• Philip Peter Corneliuson, DDS
• Matthew Thomas Cornell

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.