Individual provider Active NPI

Corey Ann Gregoire

  • Social Worker
  • Garden Grove, CA
National Provider Identifier
1144949983
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120150 Issued in CA
Practice address
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone
(657) 261-7140
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120150 CA Primary

Addresses

Primary practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Mailing address

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Other practice location 1

23161 Mill Creek Dr Ste 230
Laguna Hills, CA 92653-7935
Phone (949) 264-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jun 1, 2023 Accepting new patients
Mental Health America of Los Angeles PastSince Aug 1, 2022 Accepting new patients

Locations

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1144949983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865",
            "telephone_number": "657-261-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23161 Mill Creek Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537935",
            "country_code": "US",
            "telephone_number": "949-264-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "COREY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "120150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.