Individual provider Active NPI

Corey Pisula, LCSW-C

  • Social Worker
  • Bethesda, MD
National Provider Identifier
1811435076
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15804 Issued in MD
Practice address
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Phone
(646) 941-7645
Fax
(929) 596-7897
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15804 MD Primary

Addresses

Primary practice location

6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500

Mailing address

11912 Knob Rd NE
Cumberland, MD 21502-8227
Phone (724) 757-5159

Other practice location 1

327 Beall St
Cumberland, MD 21502-3372
Phone (301) 724-8413

Other practice location 2

11912 Knob Rd NE
Cumberland, MD 21502-8227
Phone (724) 757-5159

Other practice location 3

10102 Country Club Rd SE
Cumberland, MD 21502-8339
Phone (301) 777-2285

Other practice location 4

1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (301) 733-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250726000085 MD Practitioner - Clinical Social Worker 5991212847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15804MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Lane Behavioral Services, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Pressley Ridge Past Accepting new patients
Pressley Ridge Past Accepting new patients

Locations

1050 W Industrial Blvd
Cumberland, MD 21502
Phone (240) 964-9300

4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665

18714 North Village
Hagerstown, MD 21742
Phone (301) 733-0331

Organizations & group practices 3

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1811435076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 KNOB RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028227",
            "telephone_number": "724-757-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 DEMOCRACY BLVD STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177500",
            "telephone_number": "646-941-7645",
            "fax_number": "929-596-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beall St",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023372",
            "country_code": "US",
            "telephone_number": "301-724-8413",
            "fax_number": "301-724-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11912 Knob Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215028227",
            "country_code": "US",
            "telephone_number": "724-757-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10102 Country Club Rd SE",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215028339",
            "country_code": "US",
            "telephone_number": "301-777-2285",
            "fax_number": "301-777-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISULA",
        "first_name": "COREY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.