Richard LC Corfman

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

RICHARD LC CORFMAN

Practice address

2600 Dodge St
Ste D4, Unit 25
Dubuque, IA 52003-7161

Phone

(563) 513-5908

Fax

(563) 588-3834

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Richard LC CorfmanNPI 1619249844

Title

Owner of Entity

Phone

(563) 513-5908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Corfman, LISW

  • Social Worker
  • Dubuque, IA
  • NPI 1619249844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1699398917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DODGE ST",
            "address_2": "STE D4, UNIT 25",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037161",
            "telephone_number": "563-513-5908",
            "fax_number": "563-588-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DODGE ST",
            "address_2": "STE D4, UNIT 25",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037161",
            "telephone_number": "563-513-5908",
            "fax_number": "563-588-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LC CORFMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CORFMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LC",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "563-513-5908"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.