Active NPI
Lorraine D Corley, LCSW
- Clinical Social Worker
- Decatur, GA
National Provider Identifier
1316185374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003295
- Practice address
- 450 Winn Way
Decatur, GA 30030-1715 - Phone
- (404) 294-0499
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003295 | GA | Primary |
Addresses
Primary practice location
450 Winn Way
Decatur, GA 30030-1715
Mailing address
450 Winn Way
Decatur, GA 30030-1715
Phone (404) 294-0499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW003295 | Other | GA | PROFESSIONAL COMPOSITE BOARD OF GEORGIA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1316185374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301715",
"telephone_number": "404-294-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301715",
"telephone_number": "404-294-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "LORRAINE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COMPOSITE BOARD OF GEORGIA",
"identifier": "CSW003295",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.