Colleen Margaret Corbin, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9697 Issued in SC

Practice address

1709 Laurel St
Columbia, SC 29201-2624

Phone

(803) 765-0700

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Impact Clinical Consulting, LLC

  • Clinical Social Worker
  • Lexington, SC
  • NPI 1699304824
  NPD Authorized official
• Post Trauma Resources, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1023130150
  NPD
• Dickerson Center for Children, Inc

  • Case Management Agency
  • West Columbia, SC
  • NPI 1538397724
  NPD (past)
• Dickerson Children'S Advocacy Center

  • Specialist
  • Lexington, SC
  • NPI 1376664326
  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1487991667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 Old Cherokee Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290726971",
            "country_code": "US",
            "telephone_number": "803-549-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "COLLEEN",
        "middle_name": "MARGARET",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1332",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.posttrauma.com",
            "affiliation": "N",
            "address_1": "1709 Laurel St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292012624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Chew Corbett, MSW MASTERS IN SOCIA
• Elizabeth Ann Corbett, LISW-CP
• Lisa Michelle Corbett, LISW-CP
• Mindy Corbett
• Suzanne Elizabeth Corbett, PTA
• Alexander Corboy, DR.
• Megan Ashley Corby
• Cory Matthew Corder
• Kayla Cordero
• Salvador Manuel Cordova-Barreto, RPH

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.