Individual provider Active NPI

Lynn Corey, LCSW

  • Clinical Social Worker
  • Springfield, NJ
National Provider Identifier
1588902209
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05247000 Issued in NJ
Practice address
140 Mountain Ave
Suite 306
Springfield, NJ 07081-1737
Phone
(201) 805-0714
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05247000 NJ Primary

Addresses

Primary practice location

140 Mountain Ave
Suite 306
Springfield, NJ 07081-1737

Mailing address

140 Mountain Ave
Suite 306
Springfield, NJ 07081-1737
Phone (201) 805-0714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190506002507 NJ Practitioner - Clinical Social Worker 1355683673 Practice locations: Springfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 Morris Ave
Springfield, NJ 07081-1025
Phone (201) 805-0714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1588902209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "address_2": "SUITE 306",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811737",
            "telephone_number": "201-805-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "address_2": "SUITE 306",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811737",
            "telephone_number": "201-805-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05247000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.