Individual provider Active NPI

Donna Cornett, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1174953293
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076743 Issued in NY
Practice address
25 Chapel St
Suite 1204
Brooklyn, NY 11201-1952
Phone
(718) 596-8960
Fax
(718) 596-8964
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076743 NY Primary

Addresses

Primary practice location

25 Chapel St
Suite 1204
Brooklyn, NY 11201-1952

Mailing address

25 Chapel St
Suite 1204
Brooklyn, NY 11201-1952
Phone (718) 596-8960

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
076743NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Bureau of Community Service PastSince Jan 28, 2015 Accepting new patients
Brooklyn Bureau of Community Services Past Accepting new patients

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1174953293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 1204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-596-8960",
            "fax_number": "718-596-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 1204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-596-8960",
            "fax_number": "718-596-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.