Individual provider Active NPI

Corrie E Turpin

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1659873065
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078244 Issued in DC
Practice address
10896 Alyssa LN
Waldorf, MD 20603-3962
Phone
(301) 710-8646
NPI assigned
Mar 1, 2018
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12810 MD
Clinical Social Worker 1041C0700X LC50078244 DC Primary

Addresses

Primary practice location

10896 Alyssa LN
Waldorf, MD 20603-3962

Mailing address

10896 Alyssa LN
Waldorf, MD 20603-3962
Phone (301) 710-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240219001827 DC Practitioner - Clinical Social Worker 4688018526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078244DCMDClinical Social Worker
12810MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella Therapeutic Services, Inc. CurrentSince Feb 6, 2024 Accepting new patients

Locations

3300 Pennsylvania Ave SE
Washington, DC 20020
Phone (202) 583-1194

Organizations & group practices 2

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1659873065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10896 ALYSSA LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033962",
            "telephone_number": "301-710-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10896 ALYSSA LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033962",
            "telephone_number": "301-710-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURPIN",
        "first_name": "CORRIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.