Individual provider Active NPI

Richard Corfman, LISW

  • Social Worker
  • Dubuque, IA
National Provider Identifier
1619249844
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00984 Issued in IA
Practice address
2005 Asbury Rd
Dubuque, IA 52001-3042
Phone
(563) 583-7357
Fax
(563) 583-7026
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00984 IA Primary

Addresses

Primary practice location

2005 Asbury Rd
Dubuque, IA 52001-3042

Mailing address

2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120420000457 IA Practitioner - Clinical Social Worker 2466613260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 Dodge St
Dubuque, IA 52003-7161
Phone (563) 513-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard LC Corfman Social Worker CurrentSince Apr 10, 2020 Accepting new patients

Locations

2600 Dodge St
Ste D4
Dubuque, IA 52003
Phone (563) 581-4062

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1619249844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357",
            "fax_number": "563-583-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357",
            "fax_number": "563-583-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORFMAN",
        "first_name": "RICHARD",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.