Kelly McCorkle, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0900203 Issued in OH

Practice address

9085 Southern St
Suite 100
Orient, OH 43146-9360

Phone

(740) 464-0444

Fax

(740) 477-6874

NPI assigned

May 20, 2010

Last updated

Feb 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1508185232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 SOUTHERN ST",
            "address_2": "SUITE 100",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469360",
            "telephone_number": "740-464-0444",
            "fax_number": "740-477-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 SOUTHERN ST",
            "address_2": "SUITE 100",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469360",
            "telephone_number": "740-464-0444",
            "fax_number": "740-477-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "KELLY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie Mae Lindsey, LPN
• Gail Lorraine Lohn, LPN
• Sophia Madden, RBT
• Robelyn Marlow, PH.D.
• Jami L McBride
• Lisa Diane McCoy, RN
• Barbara Jo McDermott, ED.D.
• Ryan Murray Miller, PMHNP-BC
• Ariel Mullins
• Samantha Naeder

• Clinical Social Worker in Orient, OH
• Providers in Orient, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.