Individual provider Active NPI

Evelyn Rae Corbin, LMSW

  • Social Worker
  • Greenville, MI
National Provider Identifier
1447816665
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801109744 Issued in MI
Practice address
108 N Lafayette St Ste D
Greenville, MI 48838-1883
Phone
(616) 200-4030
NPI assigned
May 13, 2019
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801109744 MI Primary
Clinical Social Worker 1041C0700X 6801109744 MI

Addresses

Primary practice location

108 N Lafayette St Ste D
Greenville, MI 48838-1883

Mailing address

17 W 2ND St
Milan, MI 48160-1007

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210615002643 MI Practitioner - Clinical Social Worker 8921408758 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109744MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sinclaire Solutions LLC Social Worker CurrentSince Mar 3, 2025 Accepting new patients
Brain Squirrels Therapy, PLLC Clinical CurrentSince Nov 19, 2025 Accepting new patients
Skyee Wellness LLC Social Worker CurrentSince Mar 3, 2025 Accepting new patients

Locations

108 N Lafayette St
Ste D
Greenville, MI 48838
Phone (616) 200-4030

Organizations & group practices 3

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1447816665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W 2ND ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N LAFAYETTE ST STE D",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381883",
            "telephone_number": "616-200-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "EVELYN",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109744",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.