Individual provider Active NPI

Rachel Rebecca Corley

  • Clinical Social Worker
  • The Colony, TX
National Provider Identifier
1356840482
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35372 Issued in TX
Practice address
5812 Hamilton Dr
The Colony, TX 75056-4348
Phone
(214) 802-4064
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Coping Center LLC 8 clinicians

Practice addresses (Care Compare)

5812 Hamilton Dr
The Colony, TX 75056-4348
Phone (217) 454-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180215000090 TX Practitioner - Clinical Social Worker 9537429428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35372TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
My Coping Center LLC CurrentSince Nov 20, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35372 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

5812 Hamilton Dr
The Colony, TX 75056-4348

Mailing address

7064 Irongate LN
Dallas, TX 75214-3240
Phone (214) 802-4064

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1356840482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7064 IRONGATE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143240",
            "telephone_number": "214-802-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 HAMILTON DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564348",
            "telephone_number": "214-802-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "RACHEL",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

Verify at the official NPI Registry.