Kelly Susan Corbine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075354 Issued in NY

Practice address

890 7TH North St
Suite 200
Liverpool, NY 13088-6558

Phone

(315) 200-1056

Fax

(315) 452-2455

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Corbine Kimpel Former name

Medicare fee-for-service enrollment

Enrolled in NY, FL, MA3 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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Medical Services Ny PCGroup PAC ID 0143671966, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Talkspace Medical Services Ny PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1790475556
  Medicare reassignment Care Compare group NPD
• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Medicare reassignment NPD
• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1871248757

  Clinical, FL

  Medicare reassignment NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Clinical

  Medicare reassignment NPD
• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  FL, MA

  Medicare reassignment
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD
• River Hospital, Inc.

  • Rural Health Clinic/Center
  • Alexandria Bay, NY
  • NPI 1831452994
  NPD

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1720396500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 7TH NORTH ST",
            "address_2": "SUITE 200",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886558",
            "telephone_number": "315-200-1056",
            "fax_number": "315-452-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 7TH NORTH ST",
            "address_2": "SUITE 200",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886558",
            "telephone_number": "315-200-1056",
            "fax_number": "315-452-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBINE",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KIMPEL",
            "middle_name": "CORBINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Conte, M.S.-CCC/SLP
• Jennifer J. Conte, MS, LMHC
• Ashley Cook, M.S. ED., CCC-SLP
• Cheryl A. Cook, NURSE PRACTITIONER
• Joshu E. Coppola, P.A.
• Hannah Corcoran, PA-C
• Jaclyn S Corkran, LPN
• Nicole Brice Corlyon
• Kaitlyn Rose Cornman, PA-C
• Melinda Correia, RN

• Clinical Social Worker in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.