Lashelle Corley, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06196000 Issued in NJ

Practice address

Sound Mind Recovery Center LLC
155 Willowbrook Blvd, Ste 110 #3622
Wayne, NJ 07470

Phone

(201) 677-8474

NPI assigned

Feb 28, 2023

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

• Sound Mind Recovery Center LLC

  • Clinical Social Worker
  • Wayne, NJ
  • NPI 1124727466

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1396444311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUND MIND RECOVERY CENTER LLC",
            "address_2": "155 WILLOWBROOK BLVD, STE 110 #3622",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "201-677-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUND MIND RECOVERY CENTER LLC",
            "address_2": "155 WILLOWBROOK BLVD, STE 110 #3622",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "201-677-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Main St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NJ",
            "postal_code": "083452133",
            "country_code": "US",
            "telephone_number": "856-200-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "LASHELLE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00214200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06196000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Motashami Cooper, BCBA
• Harvey Cooper, MD
• Samantha Corallo
• Thomas Gerald Corbo, PA-C
• Rosemary Cordasco, LCSW
• Joan Cagara Corpuz, PT, DPT
• Mark Corradi
• Karen Cortellino, MD
• Lauren Cosgrove
• Costco Wholesale Corporation (Costco Hearing Aid #1177)

• Clinical Social Worker in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.