Active NPI
Jessica Corn, LCSW
- Clinical Social Worker
- Carmel, IN
National Provider Identifier
1992588669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34011840A
- Practice address
- 11900 Pennsylvania St Ste 104
Carmel, IN 46032-4694 - Phone
- (216) 468-5000
- NPI assigned
- Aug 16, 2023
- Last updated
- Jul 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34011840A | IN | Primary |
Addresses
Primary practice location
11900 Pennsylvania St Ste 104
Carmel, IN 46032-4694
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
217 E Southway Blvd Ste 101
Kokomo, IN 46902-3577
Phone (317) 366-4980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33011288A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1992588669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 PENNSYLVANIA ST STE 104",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324694",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [
{
"address_1": "217 E Southway Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469023577",
"country_code": "US",
"telephone_number": "317-366-4980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORN",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34011840A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
- Gabrielle Copeland, OTR/L
- Kathryn A. Copeland, MD
- Joanne Cordella, RBT
- Maria Veronica Gloria Cordero, PHYSICAL THERAPIST
- Coresight Neuro-Ophthalmology LLC
- Cornerstone Dentistry Inc
- Cornerstone-Carmel
- Amy Lynn Corrigan, DO
- Connor Andrew Corrigan, PA-C
- Corsocare Hospice of Indiana LLC (CorsoCare Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.