Active NPI
Jeffrey R Corning, MSW,BA,LMSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1194070086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1934
- Practice address
- 141 E Main St
Waterbury Clinical Services 2ND Floor
Waterbury, CT 06702-2310 - Phone
- (203) 756-7287
- Fax
- (203) 596-0722
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1934 | CT | Primary |
Addresses
Primary practice location
141 E Main St
Waterbury Clinical Services 2ND Floor
Waterbury, CT 06702-2310
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | ANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH/UNITED HEALTH CARE WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH/OXFORD FREEDOM/OXFORD LIBERTY WELLMORE GRP/FACILITY060669107 |
| NOT ELIGIBLE | Other | CT | MHN MANAGED HEALTH NETWORK |
| D339209 WATERBURY | Other | CT | BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY |
| 008060097 | Medicaid | CT | |
| 060669107 | Other | CT | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| 13605884 | Other | CT | CAQH |
| NOT ELIGIBLE | Other | CT | MHN TRICARE NORTH |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1934 | CT | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1194070086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "WATERBURY CLINICAL SERVICES 2ND FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-756-7287",
"fax_number": "203-596-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNING",
"first_name": "JEFFREY",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSW,BA,LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "1934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/UNITED HEALTH CARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/OXFORD FREEDOM/OXFORD LIBERTY WELLMORE GRP/FACILITY060669107",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY",
"identifier": "D339209 WATERBURY",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008060097",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/CONNECTICARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13605884",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN TRICARE NORTH",
"identifier": "NOT ELIGIBLE",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.