Individual provider Active NPI

Alex Patrick Corcoran, MSSA, LSW

  • Clinical Social Worker
  • Brecksville, OH
National Provider Identifier
1730679671
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S1600280 Issued in OH
Practice address
8227 Brecksville Rd Ste 104
Brecksville, OH 44141-1363
Phone
(440) 526-0468
Fax
(440) 526-0454
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 S1600280 OH Primary

Addresses

Primary practice location

8227 Brecksville Rd Ste 104
Brecksville, OH 44141-1363

Mailing address

251 Vineyard Dr Apt 101
Broadview Heights, OH 44147-3334
Phone (440) 382-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190917002560 OH Practitioner - Clinical Social Worker 6305175381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates in Behavioral Health, LLCGroup PAC ID 0547257107, 13 clinicians

Practice addresses (Care Compare)

6133 Rockside Rd
Suite 402
Independence, OH 44131-2244
Phone (216) 520-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1600280OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Behavioral Health, LLC CurrentSince Oct 12, 2023 Accepting new patients

Locations

6133 Rockside Rd
Ste 402
Independence, OH 44131
Phone (216) 520-5969

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1730679671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VINEYARD DR APT 101",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473334",
            "telephone_number": "440-382-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD STE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411363",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "ALEX",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSSA, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1600280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.