Corbin Christine Jeffries, LCSW

Individual provider Active NPI Clinical Social Worker · New Castle, KY

NPI 1992462071 · NPPES record last updated Nov 23, 2021

Key facts

NPI
1992462071
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
256157 (KY)
Practice address
1325 Fallen Timber Rd
New Castle, KY 40050-6716
Phone
(502) 259-8817
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
256157KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryhurst, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256157 KY Yes

Addresses

Primary practice location

1325 Fallen Timber Rd
New Castle, KY 40050-6716

Mailing address

1015 Dorsey LN
Louisville, KY 40223-2612
Phone (502) 245-1576

Other providers in New Castle, KY

All providers in New Castle, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.