Angela L Corbett, LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11436 Issued in FL

Practice address

6320 US Highway 301 S
Riverview, FL 33578-3829

Phone

(813) 419-3386

Fax

(813) 793-4879

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Lynn Jack Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

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 and National Provider Directory roles.

• Truecandor Behavioral Health, LLC

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1013524883

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1134565245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FLORABLU DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843531",
            "telephone_number": "813-419-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-419-3386",
            "fax_number": "813-793-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13324 Telecom Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370938",
            "country_code": "US",
            "telephone_number": "813-419-3386",
            "fax_number": "813-793-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW6712",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JACK",
            "middle_name": "LYNN",
            "credential": "RCSWI, CAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bobby Jean Cooper
• Lakeitha Cooper
• Madison Cooper
• Toisheka Cooper, RN
• Cora Health Services, Inc.
• Amy Corbin
• Karlee Cornell
• Corinne Elissa Correa
• Dejuanna Oubre Corson, RN, APRN
• Danny Lee Cosby, CAP/SAP

• All providers in Riverview, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.