Active NPI
Kayla N Corazao
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1205197969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111262
- Practice address
- 1700 Covemeadow Dr
Arlington, TX 76012-5407 - Phone
- (931) 684-0522
- Fax
- (931) 684-6238
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 111262 | TX | Primary |
Addresses
Primary practice location
1700 Covemeadow Dr
Arlington, TX 76012-5407
Mailing address
2025 Hunter Rd Apt 8104
New Braunfels, TX 78132-3157
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111262 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Past | Accepting new patients | |
| Centerstone of Tennessee, Inc. | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1396767430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1205197969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 HUNTER RD APT 8104",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781323157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COVEMEADOW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760125407",
"telephone_number": "931-684-0522",
"fax_number": "931-684-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORAZAO",
"first_name": "KAYLA",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.