Individual provider Active NPI

Gail Helene Korrick, MSSS / LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1811992431
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000038 Issued in CT
Practice address
111 Park St
Ste 1L
New Haven, CT 06511-5472
Phone
(203) 776-8673
Fax
(203) 787-6677
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 000038 CT Primary

Addresses

Primary practice location

111 Park St
Ste 1L
New Haven, CT 06511-5472

Mailing address

111 Park St
Ste 1L
New Haven, CT 06511-5472
Phone (203) 776-8673

Other identifiers 2

IdentifierTypeStateIssuer
140000038CT-01OtherCTANTHEM BC/BS
004178259-00OtherCTANTHEM BC/BS

Other names 1

  • Miss Gail Helene Goldman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000038CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811992431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "STE 1L",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115472",
            "telephone_number": "203-776-8673",
            "fax_number": "203-787-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "STE 1L",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115472",
            "telephone_number": "203-776-8673",
            "fax_number": "203-787-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRICK",
        "first_name": "GAIL",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "MSSS / LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "140000038CT-01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "004178259-00",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "GOLDMAN",
            "middle_name": "HELENE",
            "prefix": "MISS",
            "credential": "MSSS / LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.