Lisa Jo Corradi, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18807 Issued in MN

Practice address

1880 River Rd
Grand Rapids, MN 55744-4085

Phone

(218) 327-3000

Fax

(218) 327-1871

NPI assigned

May 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lisa Jo Kurpierz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1245591999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADI",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KURPIERZ",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.