Individual provider Active NPI

Amy Berube Corwin, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1346579091
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077508 Issued in NY
Practice address
180 Ridgeway Ave
John Marshall High School
Rochester, NY 14615-3636
Phone
(585) 458-2110
Fax
(585) 458-8092
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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 077508 NY Primary

Addresses

Primary practice location

180 Ridgeway Ave
John Marshall High School
Rochester, NY 14615-3636

Mailing address

180 Ridgeway Ave
John Marshall High School
Rochester, NY 14615-3636
Phone (585) 458-2110

Other names 1

  • Amy Marie Berube Former name

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
I20130926000741 NY Practitioner - Clinical Social Worker 1658515929 Practice locations: Penfield, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 Penbrooke Dr
Penfield, NY 14526-2041
Phone (585) 377-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077508NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1346579091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RIDGEWAY AVE",
            "address_2": "JOHN MARSHALL HIGH SCHOOL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153636",
            "telephone_number": "585-458-2110",
            "fax_number": "585-458-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RIDGEWAY AVE",
            "address_2": "JOHN MARSHALL HIGH SCHOOL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153636",
            "telephone_number": "585-458-2110",
            "fax_number": "585-458-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "AMY",
        "middle_name": "BERUBE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BERUBE",
            "middle_name": "MARIE",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.