Active NPI
Corryn Fortune, LCSW
- Social Worker
- Albany, NY
National Provider Identifier
1770052490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104773
- Practice address
- 401 New Karner Rd
Albany, NY 12205-3854 - Phone
- (518) 431-1650
- Fax
- (518) 447-0429
- NPI assigned
- Nov 26, 2018
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104773 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 093898 | NY |
Addresses
Primary practice location
401 New Karner Rd
Albany, NY 12205-3854
Mailing address
401 New Karner Rd
Albany, NY 12205-3854
Phone (518) 431-1650
Other practice location 1
11 Rudolph Ct
Cohoes, NY 12047-1509
Phone (203) 524-0466
Other names 1
- Corryn Andrianus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104773 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1770052490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053854",
"telephone_number": "518-431-1650",
"fax_number": "518-447-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053854",
"telephone_number": "518-431-1650",
"fax_number": "518-447-0429"
}
],
"practiceLocations": [
{
"address_1": "11 Rudolph Ct",
"address_purpose": "LOCATION",
"city": "Cohoes",
"state": "NY",
"postal_code": "120471509",
"country_code": "US",
"telephone_number": "203-524-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTUNE",
"first_name": "CORRYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2024-08-26",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104773",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRYN",
"last_name": "ANDRIANUS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.