Susan Eades Corcoran, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R040786-1 Issued in NY

Practice address

300 Mercer St
Ste. 3L
New York, NY 10003-6724

Phone

(212) 673-6867

Fax

(212) 828-8724

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831218023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARK AVE",
            "address_2": "APT.152",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281255",
            "telephone_number": "212-410-7957",
            "fax_number": "212-828-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCER ST",
            "address_2": "STE. 3L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036724",
            "telephone_number": "212-673-6867",
            "fax_number": "212-828-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "SUSAN",
        "middle_name": "EADES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R040786-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "4419205",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN",
            "identifier": "161961P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3233006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ciara Corcino, LMSW
• Kiara Micaela Corcoran Ruiz, MD
• Anthony Eddie Corcoran
• Cheryl Mary Corcoran, M.D.
• Siobhan Mary Corcoran
• Idoia Corcuera Solano, M.D.
• Frances M Corda Whitehead, RN, BSN
• Rozelle Corda, FNP
• Nia Cordani
• Frank A. Cordasco, M.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.