Judith Ann Corvin-Blackburn, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

907 Clock Tower Dr
Springfield, IL 62704-6023

Phone

(217) 726-8759

NPI assigned

Apr 16, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1790959112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046023",
            "telephone_number": "217-726-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046023",
            "telephone_number": "217-726-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVIN-BLACKBURN",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Corkery
• Jana Jolan Cornell, SPEECH PATHOLOGIST
• Cornerstone Caregiving East LLC
• Katherine Scarlett Corry
• Ivette Jaqueline Cortes, FNP
• Melissa Cory
• Alexis Corzine
• Yvonne Cosentino, OTRL
• Gabriela Cosmer
• Counseling Connections of Illinois PLLC

• Clinical Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.