Individual provider Active NPI

Corey Walmer, LCSW

  • Clinical Social Worker
  • Yarmouth, ME
National Provider Identifier
1871659664
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10543 Issued in ME
Practice address
40 Forest Falls Dr Ste 309
Yarmouth, ME 04096-7010
Phone
(207) 491-9456
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 LC10543 ME Primary

Addresses

Primary practice location

40 Forest Falls Dr Ste 309
Yarmouth, ME 04096-7010

Mailing address

40 Forest Falls Dr Ste 309
Yarmouth, ME 04096-7010
Phone (207) 491-9456

Other identifiers 1

IdentifierTypeStateIssuer
129140301MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20171207003177 ME Practitioner - Clinical Social Worker 2860759396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10543MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1871659664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR STE 309",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967010",
            "telephone_number": "207-491-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR STE 309",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967010",
            "telephone_number": "207-491-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALMER",
        "first_name": "COREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129140301",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.