Timothy Michael Corzine, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

149011475 Issued in IL

Practice address

4890 Buncombe Rd
Vienna, IL 62995-2446

Phone

(618) 579-6233

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1609219385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 BUNCOMBE RD",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629952446",
            "telephone_number": "618-579-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 BUNCOMBE RD",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629952446",
            "telephone_number": "618-579-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORZINE",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "149011475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bulfer, MSW QMHP CADC
• Brandi Campbell, BA, MHP
• John Cantrell, BA, MHP
• Lexi Clark, BS MHP
• Fallon Clayton I
• County of Johnson (Johnson County Ambulance Service)
• Sherrie Leann Crabb, MS, QMHP
• Sharon Craig, BSE, MHP
• Martha Jane Crawford, LCSW
• Mary Elizabeth Daubert

• Case Manager/Care Coordinator in Vienna, IL
• Providers in Vienna, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.