Individual provider Active NPI

Cynthia Elise Corbett, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1477798916
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029678 Issued in MA
Practice address
289 Rock St
Juvenile Court Clinic
Fall River, MA 02720-3244
Phone
(508) 676-0090
Fax
(508) 674-3295
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1029678 MA Primary

Addresses

Primary practice location

289 Rock St
Juvenile Court Clinic
Fall River, MA 02720-3244

Mailing address

289 Rock St
Juvenile Court Clinic
Fall River, MA 02720-3244
Phone (508) 676-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1029678MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1477798916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 ROCK ST",
            "address_2": "JUVENILE COURT CLINIC",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203244",
            "telephone_number": "508-676-0090",
            "fax_number": "508-674-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 ROCK ST",
            "address_2": "JUVENILE COURT CLINIC",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203244",
            "telephone_number": "508-676-0090",
            "fax_number": "508-674-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "CYNTHIA",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.