Active NPI
Corina Jane, LCSW
- Clinical Social Worker
- Moosup, CT
National Provider Identifier
1326314154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8582
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58008582 | Other | CT | CT DPH |
Other names 1
- Corina Johnson
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
Enrollment records 1
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 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8582 | CT | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane Says LCSW LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | 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
- 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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.