Active NPI
Kelly Corbitt, LCSW
- Clinical Social Worker
- Newtown, NJ
National Provider Identifier
1679982128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016997
- Practice address
- 17 Barclay Street
Building a
Newtown, NJ 18940 - Phone
- (917) 847-7073
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05434600 | NJ | |
| Clinical Social Worker | 1041C0700X | CW016997 | PA | Primary |
Addresses
Primary practice location
17 Barclay Street
Building a
Newtown, NJ 18940
Mailing address
444 South State Street, Building a
Newtown Therapy and Wellness Center
Newtown, PA 18940
Phone (917) 847-7073
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 |
|---|---|---|---|
| 44SC05434600 | NJ | MD | Clinical Social Worker |
| CW016997 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1679982128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 SOUTH STATE STREET, BUILDING A",
"address_2": "NEWTOWN THERAPY AND WELLNESS CENTER",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "917-847-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BARCLAY STREET",
"address_2": "BUILDING A",
"city": "NEWTOWN",
"state": "NJ",
"postal_code": "18940",
"telephone_number": "917-847-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBITT",
"first_name": "KELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05434600",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.