Individual provider Active NPI

Samuel Hiram McCorvey, LCSW -R

  • School Social Worker
  • Bronx, NY
National Provider Identifier
1316354061
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
R072216-1 Issued in NY
Practice address
1529 Williamsbridge Rd
Bronx, NY 10461-2502
Phone
(718) 794-8504
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X R072216-1 NY Primary

Addresses

Primary practice location

1529 Williamsbridge Rd
Bronx, NY 10461-2502

Mailing address

1529-35 Williamsbridge Road
Bronx, NY 10461-9991
Phone (718) 794-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240805001782 NY Practitioner - Clinical Social Worker 3779020060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

20 Manchester Rd
Poughkeepsie, NY 12603-2596
Phone (845) 486-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R072216-1NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Jul 26, 2024 Accepting new patients

Locations

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

20 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 347-6096

Organizations & group practices 1

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1316354061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529-35 WILLIAMSBRIDGE ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104619991",
            "telephone_number": "718-794-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612502",
            "telephone_number": "718-794-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORVEY",
        "first_name": "SAMUEL",
        "middle_name": "HIRAM",
        "name_prefix": "Mr.",
        "credential": "LCSW -R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "R072216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.