Caroline Lockett-Corwell, LMFT, APCC, CADC II

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113833 Issued in CA

Practice address

11600 Santa Rosa Rd
Santa Rosa Valley, CA 93012-8208

Phone

(415) 404-9223

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Caroline Corwell Professional name

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.

• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1144776808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 VAN EPPS ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162117",
            "telephone_number": "404-889-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 SANTA ROSA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930128208",
            "telephone_number": "415-404-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT-CORWELL",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LMFT, APCC, CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1022",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4351",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "CORWELL",
            "credential": "LMFT, APCC, CADC II",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diane Grabowski-Nepa, RD
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• Pre-Op Mobile
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• Marriage & Family Therapist in Santa Rosa Valley, CA
• Providers in Santa Rosa Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.