Individual provider Active NPI

Michelle Corley, LCSW

  • Clinical Social Worker
  • Springfield, OH
National Provider Identifier
1669838611
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801178 Issued in OH
Practice address
474 N Yellow Springs St
Springfield, OH 45504
Phone
(937) 399-9500
Fax
(937) 342-4242
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 I.1801178 OH Primary

Addresses

Primary practice location

474 N Yellow Springs St
Springfield, OH 45504

Mailing address

2122 Ridge CT
Mandeville, LA 70448-8436
Phone (614) 342-0126

Other practice location 1

113 Christian Ln
Slidell, LA 70458-1350
Phone (985) 781-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, PA, LA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190515000656 OH Practitioner - Clinical Social Worker 9234472259 Reassigns benefits to 1 organization
I20221108000846 TX Practitioner - Clinical Social Worker 9234472259 Reassigns benefits to 1 organization
I20230607000698 PA Practitioner - Clinical Social Worker 9234472259 Reassigns benefits to 1 organization
I20241113000589 LA Practitioner - Clinical Social Worker 9234472259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

301 N Main St
Suite 2200
Baton Rouge, LA 70825-0014
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1801178OHMDClinical Social Worker
66856TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Apr 21, 2025 Accepting new patients
Seeking Calm Institute, LLC Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 10, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: michellecorley@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1669838611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 RIDGE CT",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704488436",
            "telephone_number": "614-342-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N YELLOW SPRINGS ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-399-9500",
            "fax_number": "937-342-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Christian Ln",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704581350",
            "country_code": "US",
            "telephone_number": "985-781-7353",
            "fax_number": "985-781-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.