Kathryn Lee Corley LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002714 Issued in MO

Legal business name

KATHRYN LEE CORLEY LLC

Practice address

10420 Old Olive St. Rd.
Suite 202
St. Louis, MO 63141

Phone

(314) 991-9700

Fax

(314) 991-7779

NPI assigned

Apr 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathryn Lee CorleyNPI 1568586634

Title

LLC

Phone

(314) 991-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn L Corley, MSW, LCSW

  • Clinical Social Worker
  • St. Louis, MO
  • NPI 1568586634

  Clinical, MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1982929550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE ST. RD.",
            "address_2": "SUITE 202",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-991-9700",
            "fax_number": "314-991-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE ST. RD.",
            "address_2": "SUITE 202",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-991-9700",
            "fax_number": "314-991-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN LEE CORLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LLC",
        "authorized_official_telephone_number": "314-991-9700"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Farhan M Katchi, MD
• Andrew M Kates, MD
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• Kathryn Rogers LLC
• Michael J. Katich, O.D.
• Katie Boyd, Psy.D., LLC
• Katie Dienell Pac LLC
• Katies Kare LLC

• All providers in St. Louis, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.