Individual provider Active NPI

Kimberly Deneka Corbett, LCSW

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1710257456
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ44SC0400600 Issued in NJ
Practice address
1300 Highway 35
Plaza III
Ocean, NJ 07712-4077
Phone
(732) 539-8585
NPI assigned
Jan 11, 2012
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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 NJ44SC0400600 NJ Primary

Addresses

Primary practice location

1300 Highway 35
Plaza III
Ocean, NJ 07712-4077

Mailing address

1300 Highway 35
Plaza III
Ocean, NJ 07712-4077
Phone (732) 539-8585

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NJ44SC0400600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling Solutions LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1710257456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HIGHWAY 35",
            "address_2": "PLAZA III",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124077",
            "telephone_number": "732-539-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIGHWAY 35",
            "address_2": "PLAZA III",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124077",
            "telephone_number": "732-539-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEKA CORBETT",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ44SC0400600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.