Tracy W Corbett, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002825 Issued in GA

Legal business name

TRACY W CORBETT, LCSW, PC

Practice address

1013 Cherry Creek Dr
Valdosta, GA 31605-5922

Phone

(229) 460-0663

NPI assigned

Jul 8, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Woske Corbett, LCSW

Title

Ceo

Phone

(229) 460-0663

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341705600000",
    "number": "1528323334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHERRY CREEK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316055922",
            "telephone_number": "229-460-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHERRY CREEK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316055922",
            "telephone_number": "229-460-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY W CORBETT, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-08",
        "last_updated": "2012-07-08",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WOSKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-460-0663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11733902",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2012; 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.