Active NPI
Patrice Toussaint-Corielus, LCSW
- Clinical Social Worker
- Middletown, NY
National Provider Identifier
1952646465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 094672
- Practice address
- 10 Benton Ave
Middletown, NY 10940-5177 - Phone
- (845) 563-8000
- NPI assigned
- Dec 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 094672 | NY | Primary |
| Social Worker | 104100000X | 087097 | NY |
Addresses
Primary practice location
10 Benton Ave
Middletown, NY 10940-5177
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087097 | NY | MD | Social Worker |
| 094672 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1952646465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W STE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181370",
"telephone_number": "845-220-3100",
"fax_number": "845-534-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BENTON AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405177",
"telephone_number": "845-563-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUSSAINT-CORIELUS",
"first_name": "PATRICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "094672",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "087097",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
- Jose Bernardo Toro, M.D
- Jessica Frances Torres, COTA
- Lauren Elizabeth Torres, LPN
- John Peter Tortorella, MD
- Touro College of Osteopathic Medicine Omm Clinic
- Marie Sergine Touzin, NP, PMHNP
- Town of Wallkill Volunteer Ambulance Corps
- Claydean Antoinette Townsend, RN
- Jessica Trainor, LMSW
- Caitlin Tramontozzi, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.