Active NPI
Corey Matthew McSweeney
- Social Worker
- Cairo, NY
National Provider Identifier
1902446628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104130
- Practice address
- 905 Greene County Office BLDG
Cairo, NY 12413-2868 - Phone
- (518) 622-9163
- NPI assigned
- Jan 10, 2020
- Last updated
- Jan 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 104130 | NY | Primary |
Addresses
Primary practice location
905 Greene County Office BLDG
Cairo, NY 12413-2868
Mailing address
97 Freehold HTS
Freehold, NY 12431-5533
Phone (518) 929-1236
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1902446628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 FREEHOLD HTS",
"city": "FREEHOLD",
"state": "NY",
"postal_code": "124315533",
"telephone_number": "518-929-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 GREENE COUNTY OFFICE BLDG",
"city": "CAIRO",
"state": "NY",
"postal_code": "124132868",
"telephone_number": "518-622-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSWEENEY",
"first_name": "COREY",
"middle_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cairo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.