Tyrek Tormaine Corry, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015506 Issued in NC

Practice address

7 Red Feather CT
Durham, NC 27704-4974

Phone

(919) 590-0426

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Hope Well America, LLC.

  • Community/Behavioral Health Agency
  • Creedmoor, NC
  • NPI 1093353799
  NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1891367744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RED FEATHER CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RED FEATHER CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044974",
            "telephone_number": "919-590-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "TYREK",
        "middle_name": "TORMAINE",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Kathleen Corrao, APRN, PNP-BC
• Kristen Corrigan
• Danielle Andrews Corriher, MS, CCC/SLP
• Megan Elizabeth Corrothers, APN, AGACNP-BC
• Livia Corry, LCAS-A
• Leonor Corsino, M.D.
• Megan Eileen Cortes, MD
• Bronwyn Cortez, MS, RDN
• George Albert Cortina
• Sara Corwin, PT, DPT

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.