Brian Kornobis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99976 Issued in CA

Practice address

2017 Mission St
San Francisco, CA 94110-6345

Phone

(516) 510-9252

NPI assigned

Jul 17, 2012

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1467707356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 FOLSOM ST STE 702",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074502",
            "telephone_number": "415-535-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941106345",
            "telephone_number": "516-510-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 24th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103556",
            "country_code": "US",
            "telephone_number": "415-642-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNOBIS",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Korngold, PSY.D.
• Efrem Korngold, OMD, LAC
• Shem Korngold
• David Gregory Kornguth, M.D.
• Stephen Andrew Korniej
• Megan L Koroshetz
• Jacqueline Marie Korpics, MD
• Dennis William Korpman, MD
• Michael Korson, MFT
• Alexandra Korsunskaya, LCSW

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.