CORSICA FAMILY THERAPY, LLC (NPI# 1033409289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033409289 |
| Entity Type | Organization |
| Organization Name | CORSICA FAMILY THERAPY, LLC |
| Practice Address |
205 E Water St Suite C Centreville MD 21617-1155 |
| Mailing Address |
Po Box 511 Centreville MD 21617-0511 |
| Practice Telephone | 4104909742 |
| Mailing Telephone | 4104909742 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |
| Authorized Official Name | MRS. REBECCA ANN COOK (PRESIDENT/ CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4104909742 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
13638 | MD | Behavioral Health & Social Service Providers |
| Street Address |
205 E WATER ST SUITE C |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831471036 | Heather Wallace Campbell | Counselor | 205 E Water St, Suite 103, Centreville, MD 21617-1155 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249476 | Emily Anna Sausville | Social Worker | 5856 Westwater Ct, Centreville, VA 20121-3055 | 2020-06-11 |
| 1053802603 | Elizabeth Gilhooley Ayrovainen | Social Worker | 6548 Skylemar Trl, Centreville, VA 20121-3837 | 2018-05-18 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1750651535 | Lindsay Eileen Knapp | Social Worker | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2012-01-10 |
| 1255656369 | Sandra Giles Boo | Social Worker | 14474 Glencrest Cir, Centreville, VA 20120-4132 | 2010-03-31 |
| 1609077171 | Jacqueline Benoit Schott | Social Worker | 270 W. Main St., Centreville, MS 38631 | 2007-05-30 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1851417174 | Rebecca A Julian | Social Worker | 205 E Water St Ste C, Centreville, MD 21617-1155 | 2007-03-21 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| 1255434411 | Laurel H. Musson | Social Worker | 6452 Woodmere Pl, Centreville, VA 20120-3931 | 2006-09-06 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
Please comment or provide details below to improve the information on CORSICA FAMILY THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.