Individual provider Active NPI

Corey Kucker, LCSW, CAADC

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1184434003
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025599 Issued in PA
Practice address
501 S Washington Ave Ste 100
Scranton, PA 18505-3814
Phone
(570) 941-0630
NPI assigned
Jan 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW025599 PA Primary

Addresses

Primary practice location

501 S Washington Ave Ste 100
Scranton, PA 18505-3814

Mailing address

133 Highland Rd
Roaring Brook TWP, PA 18444-8209
Phone (914) 424-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20251014003078 PA Practitioner - Clinical Social Worker 3375030323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

133 Highland Rd
Roaring Brook TWP, PA 18444-8209

501 S Washington Ave
Suite 1000
Scranton, PA 18505-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group Social Worker CurrentSince Oct 1, 2025 Accepting new patients
The Wright Center Medical Group Social Worker CurrentSince Oct 1, 2025 Accepting new patients
Sunstone Counseling CurrentSince Nov 24, 2025 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

501 S Washington Ave
Ste 100
Scranton, PA 18505
Phone (570) 591-5255

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

329 Cherry St
Scranton, PA 18505
Phone (570) 348-6100

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Organizations & group practices 3

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1184434003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HIGHLAND RD",
            "city": "ROARING BROOK TWP",
            "state": "PA",
            "postal_code": "184448209",
            "telephone_number": "914-424-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 100",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814",
            "telephone_number": "570-941-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCKER",
        "first_name": "COREY",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.