Carol Winifred Cormick, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1742 Issued in FL

Practice address

1532 US 41 North
Lutz, FL 33539

Phone

(813) 948-6000

Fax

(813) 988-6438

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By 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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558442103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 N WOODMERE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336173464",
            "telephone_number": "813-988-4886",
            "fax_number": "813-988-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 US 41 NORTH",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33539",
            "telephone_number": "813-948-6000",
            "fax_number": "813-988-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMICK",
        "first_name": "CAROL",
        "middle_name": "WINIFRED",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.