Individual provider Active NPI

Josey S Corbett, LCSW

  • Clinical Social Worker
  • Lake City, FL
National Provider Identifier
1386181535
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15395 Issued in FL
Practice address
260 S Marion Ave Ste 135
Lake City, FL 32025-7000
Phone
(386) 697-8842
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3170 NH
Clinical Social Worker 1041C0700X SW15395 FL Primary

Addresses

Primary practice location

260 S Marion Ave Ste 135
Lake City, FL 32025-7000

Mailing address

PO Box 3394
Lake City, FL 32056-3394
Phone (386) 269-8209

Other practice location 1

112 Piedmont St SE
Live Oak, FL 32064-3230
Phone (386) 697-8842

Other practice location 2

1476 SW Walter Ave # L-103
Lake City, FL 32024-7916
Phone (386) 697-8842

Other identifiers 1

IdentifierTypeStateIssuer
100144500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address secure@oohtherapyinfo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180830003139 FL Practitioner - Clinical Social Worker 0941550511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis of Hope Therapy, LLCGroup PAC ID 4880087261, 5 clinicians

Practice addresses (Care Compare)

260 S Marion Ave
Suite 135
Lake City, FL 32025-7000
Phone (386) 697-8842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3170NHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis of Hope Therapy LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

260 S Marion Ave
Ste 140
Lake City, FL 32025
Phone (386) 965-3577

1476 SW Walter Ave
#L103
Lake City, FL 32024
Phone (386) 697-8842

260 S Marion Ave
Ste 135
Lake City, FL 32025
Phone (352) 373-4411

112 Piedmont St SE
Live Oak, FL 32064
Phone (386) 362-6483

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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1386181535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3394",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320563394",
            "telephone_number": "386-269-8209",
            "fax_number": "386-406-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MARION AVE STE 135",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257000",
            "telephone_number": "386-697-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Piedmont St SE",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320643230",
            "country_code": "US",
            "telephone_number": "386-697-8842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1476 SW Walter Ave # L-103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320247916",
            "country_code": "US",
            "telephone_number": "386-697-8842",
            "fax_number": "386-406-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JOSEY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3170",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100144500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure@oohtherapyinfo.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "260 S Marion Ave Ste 135",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320257000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.