Diamond Corbin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014760 Issued in NC

Practice address

3553 N Sharon Amity Rd Ste 200
Charlotte, NC 28205-8992

Phone

(704) 605-0927

NPI assigned

Aug 31, 2020

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.

• Willing and Able LLC

  • Adult Mental Health Clinic/Center
  • Lexington, KY
  • NPI 1356119580
  NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1164036976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 ROYAL CELADON WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697327",
            "telephone_number": "980-939-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 N SHARON AMITY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058992",
            "telephone_number": "704-605-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "DIAMOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26634",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diamond.corbin@diamondscbs.org",
            "affiliation": "N",
            "address_1": "3553 N Sharon Amity Rd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282058992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hal Eubert Copple Jr., M.D.
• James Copses
• Coras Intergenerational Center
• Corban Group Inc (Corban Counseling)
• James B Corbett, PT
• Erica Corbin
• Jennifer Moss Corbin, IBCLC, DOULA
• Justin B Corbin, P.A.
• Sarah R Corbin, PT
• Lauren Elizabeth Corbley

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.