Individual provider Active NPI

Anjennett Corry, LCSW

  • Clinical Social Worker
  • Somers Point, NJ
National Provider Identifier
1629622154
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
803 New Rd FL 2
Somers Point, NJ 08244-1846
Phone
(856) 725-0076
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 Primary

Addresses

Primary practice location

803 New Rd FL 2
Somers Point, NJ 08244-1846

Mailing address

803 New Rd FL 2
Somers Point, NJ 08244-1846
Phone (856) 725-0076

Other practice location 1

215 Pleasant St E
Hammonton, NJ 08037-1723
Phone (609) 415-4901

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
I20210519000136 NJ Practitioner - Clinical Social Worker 7618376930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

803 New Rd
Somers Point, NJ 08244-1846
Phone (609) 415-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Therapy LLC Professional CurrentSince May 1, 2021 Accepting new patients
Island Therapy LLC CurrentSince Jun 11, 2023 Accepting new patients
Acenda, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

215 Pleasant St E
Hammonton, NJ 08037
Phone (609) 415-4901

803 New Rd
Fl 2
Somers Point, NJ 08244
Phone (609) 415-4901

803 New Rd
Somers Point, NJ 08244
Phone (609) 415-4901

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1629622154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NEW RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "856-725-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NEW RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "856-725-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Pleasant St E",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371723",
            "country_code": "US",
            "telephone_number": "609-415-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRY",
        "first_name": "ANJENNETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-06-08",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.