Kelly McCorkle, LISW
Individual provider Active NPI Clinical Social Worker · Orient, OH
NPI 1508185232 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1508185232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.0900203 (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
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0900203 | OH | Yes |
Addresses
Primary practice location
9085 Southern St
Suite 100
Orient, OH 43146-9360
Mailing address
9085 Southern St
Suite 100
Orient, OH 43146-9360
Phone (740) 464-0444
Other providers in Orient, OH
- Gail Lorraine Lohn
- Nan Maclean
- Sophia Madden
- Robelyn Marlow
- Jami L McBride
- Lisa Diane McCoy
- Barbara Jo McDermott
- Ryan Murray Miller
- Ariel Mullins
- Samantha Naeder
All providers in Orient, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.