Active NPI
Ronald J. Corbin, LCSW
- Clinical Social Worker
- Atlantis, FL
National Provider Identifier
1649523176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10944
- Practice address
- 180 JFK Dr
Suite 210
Atlantis, FL 33462-6607 - Phone
- (561) 548-1450
- NPI assigned
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SW10944 | FL | |
| Clinical Social Worker | 1041C0700X | SW10944 | FL | Primary |
| Mental Health Counselor | 101YM0800X | SW10944 | FL |
Addresses
Primary practice location
180 JFK Dr
Suite 210
Atlantis, FL 33462-6607
Mailing address
180 JFK Dr
Suite 210
Atlantis, FL 33462-6607
Phone (561) 548-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW10944 | Other | FL | LCSW |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10944 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JFK Internal Medicine Faculty Practice, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Atlantis, FL
- NPI 1467614651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1649523176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 JFK DR",
"address_2": "SUITE 210",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626607",
"telephone_number": "561-548-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JFK DR",
"address_2": "SUITE 210",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626607",
"telephone_number": "561-548-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "RONALD",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "SW10944",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10944",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW10944",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "SW10944",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.