Active NPI
Carly Elizabeth Corso
- Social Worker
- Hampshire, IL
National Provider Identifier
1508450305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33008457A
- Practice address
- 16N919 Glen Oaks CT
Hampshire, IL 60140-8991 - Phone
- (847) 421-2774
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33008457A | IN | Primary |
Addresses
Primary practice location
16N919 Glen Oaks CT
Hampshire, IL 60140-8991
Mailing address
16N919 Glen Oaks CT
Hampshire, IL 60140-8991
Phone (847) 421-2774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33008457A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1508450305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16N919 GLEN OAKS CT",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601408991",
"telephone_number": "847-421-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16N919 GLEN OAKS CT",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601408991",
"telephone_number": "847-421-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSO",
"first_name": "CARLY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33008457A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.