Corf Psychology Group LLC
Organization Active NPI Clinical Social Worker · Ipswich, MA
NPI 1962013235 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1962013235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CORF PSYCHOLOGY GROUP LLC
- Practice address
- 4 S Main St Ste 9
Ipswich, MA 01938-2345 - Phone
- (978) 704-1212
- Fax
- (978) 338-4054
- NPI assigned
- Aug 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Michelle C McDonald, LICSW
- Title
- President
- Phone
- (978) 704-1212
Practitioners 5
-
Michelle C McDonald, LICSW
-
Dawn Elizabeth Adams, LICSW
-
Katharine Smith-Vaughan, LICSW
-
Kelsey Rees, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201116002856 | MA | Part B Supplier - Clinic/Group Practice | 7012328461 |
Receives reassigned benefits from 5 practitioners Practice locations: Ipswich, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
4 S Main St Ste 9
Ipswich, MA 01938-2345
Mailing address
4 S Main St Ste 9
Ipswich, MA 01938-2345
Phone (978) 704-1212
Other names
- Corf Psychology Group LLC
Other providers in Ipswich, MA
- Kim A. Collins
- Katie Comtois
- Ruth A Conway
- Kaye Cook
- Jeanne Sheehan Corcoran
- Nancy Cormier
- Lea Corzine
- Caitlin Coyle
- Matthew P. Curtin
- CVS Pharmacy, Inc.
All providers in Ipswich, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.