Individual provider Active NPI

Corina Jane, LCSW

  • Clinical Social Worker
  • Moosup, CT
National Provider Identifier
1326314154
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8582 Issued in CT
Practice address
18 Withey Hill Rd
Moosup, CT 06354-1316
Phone
(860) 886-0567
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8582 CT Primary

Addresses

Primary practice location

18 Withey Hill Rd
Moosup, CT 06354-1316

Mailing address

18 Withey Hill Rd
Moosup, CT 06354-1316
Phone (860) 972-6970

Other identifiers 1

IdentifierTypeStateIssuer
58008582OtherCTCT DPH

Other names 1

  • Corina Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140619000522 CT Practitioner - Clinical Social Worker 8325262074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Withey Hill Rd
Moosup, CT 06354-1316
Phone (860) 269-0779

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8582CTMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Says LCSW LLC CurrentSince Mar 16, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

42 Town St
Ste 300
Norwich, CT 06360
Phone (860) 886-0567

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: corina.jane@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1326314154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WITHEY HILL RD",
            "city": "MOOSUP",
            "state": "CT",
            "postal_code": "063541316",
            "telephone_number": "860-972-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WITHEY HILL RD",
            "city": "MOOSUP",
            "state": "CT",
            "postal_code": "063541316",
            "telephone_number": "860-886-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANE",
        "first_name": "CORINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT DPH",
            "identifier": "58008582",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINA",
            "last_name": "JOHNSON",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moosup, CT

Sources for this page

Verify at the official NPI Registry.