MR. COREY JAMES WORDEN (NPI# 1104057850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104057850 |
| Entity Type | Individual |
| Full Name | MR. COREY JAMES WORDEN |
| Credential | MA, LCPC |
| Practice Address |
24012 W Renwick Rd Ste 204a Plainfield IL 60544-8733 |
| Mailing Address |
13841 Meadow Ln Plainfield IL 60544-2891 |
| Practice Telephone | 8156764688 |
| Practice Fax Number | 8156764498 |
| Mailing Telephone | 6308800221 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180.007958 | IL | Behavioral Health & Social Service Providers |
| Street Address |
24012 W RENWICK RD STE 204A |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285387 | Danielle Zimmerman Lcpc, Inc. | Counselor | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2017-10-07 |
| 1982080214 | Jamie Mirocha | Social Worker | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2015-08-10 |
| 1720463847 | Jamie Mirocha | Social Worker | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2015-07-30 |
| 1164806279 | Jamie Mirocha | Social Worker | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2015-07-17 |
| 1922428812 | Amber Naroleski | Counselor | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2014-04-18 |
| 1851608392 | Heather Samardzija | Counselor | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2010-09-03 |
| 1366775256 | Matthew David Lauer | Psychologist | 24012 W Renwick Rd Ste 204a, Plainfield, IL 60544-8733 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750913455 | Julie Fossel | Counselor | 24047 W Lockport St Ste 211, Plainfield, IL 60544-1682 | 2020-02-10 |
| 1649782061 | Khalilah A Williams | Counselor | 826 Coolidge St, Plainfield, NJ 07062-2100 | 2017-10-25 |
| 1740667104 | Terri Larae Griswold | Counselor | 2604 Old Woods Trl, Plainfield, IL 60586-7762 | 2015-05-05 |
| 1609108414 | Marie Moise Fevrier | Counselor | 120 Randolph Rd, Plainfield, NJ 07060-2401 | 2010-02-03 |
| 1649331513 | Jill Sheryl Ericson | Counselor | 22852 Harbour Ln, Plainfield, IL 60544 | 2006-12-13 |
| 1124092911 | Legacy Clinical Consultants, LLC | Counselor | 13300 S Route 59, Suite B-7, Plainfield, IL 60585-9847 | 2006-02-16 |
| 1790343218 | Megan N. Hutchinson Krings | Counselor | 24402 W Lockport St Ste 223, Plainfield, IL 60544-4267 | 2019-05-30 |
| 1073928644 | Amanda Paben | Counselor | 24020 W Riverwalk Ct, Suite 100, Plainfield, IL 60544-7103 | 2014-06-23 |
| 1609123447 | Heather Stanley | Counselor | 24402 W Lockport St, Suite 224, Plainfield, IL 60544-4206 | 2012-08-10 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
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| 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.