Carly Corpolongo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087894 Issued in MI

Practice address

725 S Adams Rd Ste 235
Birmingham, MI 48009-6931

Phone

(734) 674-7199

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sollarsand Associates IncGroup PAC ID 6608911995, 10 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.

• Sollars and Associates

  • Psychologist
  • Sterling Heights, MI
  • NPI 1538482187
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1730441205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S ADAMS RD STE 235",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096931",
            "telephone_number": "734-674-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ADAMS RD STE 235",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096931",
            "telephone_number": "734-674-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPOLONGO",
        "first_name": "CARLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian A Connolly, MD
• Mary L Connolly, MSW
• Steven Anthony Conyers, MA
• Elizabeth Ann Corby, PH.D.
• John Charles Cordes, DC
• Whitney Leigh Coulson, LCSW
• Lance Cousins, CERTIFIED TRAINER
• Silvio J Cozzetto, D.C.
• Craig Counseling Services, P.L.L.C.
• Steven J. Craig, PSY.D.

• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.