Active NPI
Vincent Mark Corso, M.DIV. M.S.W. L.S.W.
- Clinical Social Worker
- Cedar Grove, NJ
National Provider Identifier
1609324300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL05387000
- Practice address
- 37 Bruce CT
Cedar Grove, NJ 07009-1716 - Phone
- (973) 571-0053
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05387000 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | R053762-1 | NY |
Addresses
Primary practice location
37 Bruce CT
Cedar Grove, NJ 07009-1716
Mailing address
37 Bruce CT
Cedar Grove, NJ 07009-1716
Phone (973) 571-0053
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 |
|---|---|---|---|
| 44SL05387000 | NJ | MD | Clinical Social Worker |
| R053762-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1609324300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BRUCE CT",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091716",
"telephone_number": "973-571-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BRUCE CT",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091716",
"telephone_number": "973-571-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSO",
"first_name": "VINCENT",
"middle_name": "MARK",
"credential": "M.DIV. M.S.W. L.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05387000",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R053762-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.