Nicole Jorene Cornacchione

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088930 Issued in MI

Practice address

23208 Ashley St
Farmington Hills, MI 48336-3514

Phone

(810) 610-8037

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Jorene Lowis Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Psychology and Wellness LLCGroup PAC ID 9234413345, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Psychology and Wellness, LLC

  • Clinical Psychologist
  • Commerce Township, MI
  • NPI 1932648102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1356636849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23208 ASHLEY ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363514",
            "telephone_number": "810-610-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23208 ASHLEY ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363514",
            "telephone_number": "810-610-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNACCHIONE",
        "first_name": "NICOLE",
        "middle_name": "JORENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LOWIS",
            "middle_name": "JORENE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cork Medical LLC
• Annie Corker
• Lauryn Corkwell
• Dawn Cormier
• Jazzmin Mariah Cormier
• Patricia Cornejo
• Vannesa Cornejo
• Joyanne Cornelio
• Ali Cornelius
• Cynsere Cornelius

• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.

Verify at the official NPI Registry.