Jacqueline Corpuz, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19867 Issued in MD

Practice address

1220 E Joppa Rd Ste 332
Towson, MD 21286-5811

Phone

(667) 600-3999

Fax

(676) 600-4102

NPI assigned

Aug 3, 2015

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

Other identifiers 1

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.

• Building Families for Children, Inc.

  • Case Management Agency
  • Columbia, MD
  • NPI 1396137766
  NPD (past)
• Building Families for Children, Inc.

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1487046496
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1962888974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD STE 332",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "667-600-3999",
            "fax_number": "676-600-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD STE 332",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "667-600-3999",
            "fax_number": "676-600-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7161 Columbia Gateway Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462148",
            "country_code": "US",
            "telephone_number": "410-872-1050",
            "fax_number": "410-872-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "JACQUELINE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608401000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Corbin
• James Michael Corkum, M.D.
• Jessica Rae Cornejo, CRNP
• Shellene Cornish, LCSW-C
• Benjamin Cornwell
• Jessica Correnti, CCLS
• Cosmetic Surgi Center of Maryland
• Bailey Costa, ED.S., NCSP
• Christopher Costa, MD
• Annmarie Cote

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.