Cory Loder, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106296 Issued in MA

Practice address

25 Cottage St
Brien Center Main St. Human Resources
Great Barrington, MA 01230-1329

Phone

(413) 528-9155

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336293695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MILLER VIEW ROAD",
            "city": "NORTH EGREMONT",
            "state": "MA",
            "postal_code": "01252",
            "telephone_number": "413-528-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COTTAGE ST",
            "address_2": "BRIEN CENTER MAIN ST. HUMAN RESOURCES",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301329",
            "telephone_number": "413-528-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODER",
        "first_name": "CORY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P04922",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Lichtenfeld, M.D.
• Life Arts Integrative Health LLC
• Life Needs Coop (Stanton Home)
• David Harris Lippman, MD
• Michael Aaron Lipson, PHD
• Susan B. Lord, MD
• Rachel Low, ND
• Megan Luther, PHARMD
• Elissa Macdowell
• Stephanie E. Macleay, RD, LDN

• Clinical Social Worker in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.