Laurie Ann Korbas, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 1101519 Issued in OH

Practice address

741 Scholl Rd
Mansfield, OH 44907-1571

Phone

(419) 756-1717

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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)

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.

• Maryhaven

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
  • NPI 1285119180
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1912288275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 E SMILEY AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448758602",
            "telephone_number": "419-347-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-756-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBAS",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1101519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Kokiko, OTR/L
• Steven D. Kolacz, LISW
• Brittany Nicole Komlofske
• Carole L Kommer, R.N.
• Lucia Koon
• Abdul Salam Koroma
• Megan Kostelnik
• Keith Andrew Kovacs, R.PH.
• Gregory R Krall, RPH
• Madelin Elizabeth Kreinbrink, CNP

• Clinical Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Clinical Social Worker in Ohio

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

Verify at the official NPI Registry.