Individual provider Active NPI

Cory C Sorce, LCSW-R

  • Clinical Social Worker
  • Pittsford, NY
National Provider Identifier
1679715387
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072796-1 Issued in NY
Practice address
1 Lockwood Dr
Pittsford, NY 14534-3755
Phone
(585) 233-6060
Fax
(585) 383-8609
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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 072796-1 NY Primary

Addresses

Primary practice location

1 Lockwood Dr
Pittsford, NY 14534-3755

Mailing address

1 Lockwood Dr
Pittsford, NY 14534-3755
Phone (585) 233-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180828003484 NY Practitioner - Clinical Social Worker 5193075984 Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072796-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1679715387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LOCKWOOD DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343755",
            "telephone_number": "585-233-6060",
            "fax_number": "585-383-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOCKWOOD DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343755",
            "telephone_number": "585-233-6060",
            "fax_number": "585-383-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORCE",
        "first_name": "CORY",
        "middle_name": "C",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.