Active NPI
Kathleen McCorkle, L.C.S.W.
- Social Worker
- Visalia, CA
National Provider Identifier
1629372412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 25690
- Practice address
- 1019 N Demaree St
Ste a
Visalia, CA 93291-4117 - Phone
- (559) 737-0068
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 25690 | CA | Primary |
Addresses
Primary practice location
1019 N Demaree St
Ste a
Visalia, CA 93291-4117
Mailing address
PO Box 6193
Visalia, CA 93290
Phone (559) 737-0068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 25690 | CA | MD | Social Worker |
| 25690 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1629372412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6193",
"city": "VISALIA",
"state": "CA",
"postal_code": "93290",
"telephone_number": "559-737-0068",
"fax_number": "559-561-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 N DEMAREE ST",
"address_2": "STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914117",
"telephone_number": "559-737-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "KATHLEEN",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 25690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.