Erica Corley, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116310 Issued in MA

Practice address

285 Central St
Ste 218B
Leominster, MA 01453-6144

Phone

(781) 771-7564

NPI assigned

Feb 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1174763379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST STE 218B",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "781-771-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST",
            "address_2": "STE 218B",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "781-771-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "116310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coordinated Primary Care, Inc
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• Coordinated Primary Care, Inc.
• Coordinated Primrary Care Inc
• Julie Amy Coppenrath
• Patricia Lynne Cormack, MSED. PT
• James Martin Cormier, DC
• Michelle Ann Cormier
• Cornerstone Caregiving East LLC
• Michael Cornier Jr.

• Mental Health Counselor in Leominster, MA
• Providers in Leominster, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.