Individual provider Active NPI

Jill Corrigan, LISW-CP

  • Clinical Social Worker
  • Irmo, SC
National Provider Identifier
1700834017
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6290 Issued in SC
Practice address
22 Maid Lynn CT
Irmo, SC 29063-2900
Phone
(803) 422-3265
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 6290 SC Primary

Addresses

Primary practice location

22 Maid Lynn CT
Irmo, SC 29063-2900

Mailing address

22 Maid Lynn CT
Irmo, SC 29063-2900
Phone (803) 422-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061116000094 SC Practitioner - Clinical Social Worker 6204834864 Reassigns benefits to 1 organization
I20220207002605 NJ Practitioner - Clinical Social Worker 6204834864 Reassigns benefits to 2 organizations
I20220615003248 FL Practitioner - Clinical Social Worker 6204834864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6290SCMDSpeech-Language Pathologist

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince May 14, 2022 Accepting new patients
NJ Behavioral Health Services PC Clinical CurrentSince Mar 12, 2022 Accepting new patients
Che Behavioral Health Services of South Carolina, P.C. Clinical CurrentSince Feb 8, 2022 Accepting new patients
Family Service Center Clinical Past Accepting new patients
Counseling & Consultant Services LLC Clinical PastSince Mar 1, 2007 Accepting new patients

Locations

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jill.corrigan.1@24287.direct.athenahealth.com

Organizations & group practices 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1700834017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAID LYNN CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632900",
            "telephone_number": "803-422-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAID LYNN CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632900",
            "telephone_number": "803-422-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "JILL",
        "name_prefix": "Miss",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.