Active NPI
Kymberly Corley, LMSW
- Social Worker
- Newburgh, NY
National Provider Identifier
1861276586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119593
- Practice address
- 372 Fullerton Ave
Newburgh, NY 12550-3744 - Phone
- (845) 293-3050
- NPI assigned
- Aug 23, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 119593 | NY | Primary |
Addresses
Primary practice location
372 Fullerton Ave
Newburgh, NY 12550-3744
Mailing address
125 Green St Apt 2
Hudson, NY 12534-2330
Phone (631) 275-8575
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 |
|---|---|---|---|
| 119593 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1861276586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GREEN ST APT 2",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342330",
"telephone_number": "631-275-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 FULLERTON AVE",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503744",
"telephone_number": "845-293-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "KYMBERLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.