Individual provider Active NPI

Jessica Renee Brokering Corrigan, LCSW

  • Clinical Social Worker
  • Montrose, CO
National Provider Identifier
1700076056
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1713 Issued in CO
Practice address
528 N Uncompahgre Ave
Montrose, CO 81401-3127
Phone
(970) 240-6438
Fax
(970) 240-9296
NPI assigned
Aug 1, 2007
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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 1713 CO Primary
Clinical Social Worker 1041C0700X 34006027A IN

Addresses

Primary practice location

528 N Uncompahgre Ave
Montrose, CO 81401-3127

Mailing address

PO Box 1208
Montrose, CO 81402-1208
Phone (970) 240-6438

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

LicenseStateTypeSpecialty
1713COMDPsychologist
34006027AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Child and Family Therapy Clinical CurrentSince Apr 20, 2021 Accepting new patients
Montrose County School District Re-1J Past Accepting new patients

Locations

419 N 1st St
Unit D
Montrose, CO 81401
Phone (970) 765-7162

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1700076056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814021208",
            "telephone_number": "970-240-6438",
            "fax_number": "970-240-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N UNCOMPAHGRE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013127",
            "telephone_number": "970-240-6438",
            "fax_number": "970-240-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "JESSICA",
        "middle_name": "RENEE BROKERING",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1713",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006027A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.