Active NPI
Corrie Rafferty, LISW-S
- School Social Worker
- Youngstown, OH
National Provider Identifier
1811310014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- I.0600136-SUPV
- Practice address
- 100 Broadway Ave
Youngstown, OH 44505-2789 - Phone
- (330) 831-2835
- NPI assigned
- Jan 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | I.0600136-SUPV | OH | Primary |
Addresses
Primary practice location
100 Broadway Ave
Youngstown, OH 44505-2789
Mailing address
100 Broadway Ave
Youngstown, OH 44505-2789
Phone (330) 831-2835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0600136-SUPV | OH | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1811310014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BROADWAY AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052789",
"telephone_number": "330-831-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROADWAY AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052789",
"telephone_number": "330-831-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "CORRIE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OH",
"license": "I.0600136-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.