PAMELA J CORKUM (NPI# 1134604952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134604952 |
| Entity Type | Individual |
| Full Name | PAMELA J CORKUM |
| Credential | LICSW |
| Practice Address |
148 Jewett St Georgetown MA 01833-1814 |
| Practice Telephone | 9784999999 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1020735 | MA | Behavioral Health & Social Service Providers |
| Street Address |
148 JEWETT ST |
| City | GEORGETOWN |
| State | MA |
| Zip Code | 01833-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1316259773 | North Shore Psychodiagnostics | Psychologist | One East Main Street, Georgetown, MA 01833 | 2010-07-13 |
| 1437344140 | Irene V Kelley | Physical Therapist | 1 Marlboro Road, Georgetown, MA 01833 | 2007-09-06 |
| 1790991115 | Gerri Spector-brady | Occupational Therapy Assistant | 1 Emily Ln, Georgetown, MA 01833 | 2007-05-15 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1912122664 | Maureen Sherry-bianco | Registered Nurse | 17 Larkspur Circle, Georgetown, MA 01833 | 2007-04-16 |
| 1336255207 | Pamela M Waggoner | Social Worker | 65 Central St., Georgetown, MA 01833 | 2006-08-22 |
| 1841243375 | Marjorie Jean Talacko | Occupational Therapist | 25 Summer St, Georgetown, MA 01833 | 2006-05-18 |
| 1578670881 | Baldpate Psychiatric Associates | Psychologist | 83 Baldpate Rd, Georgetown, MA 01833 | 2006-08-23 |
| 1225671068 | Cassidy Troy | Student in an Organized Health Care Education/Training Program | 33 Thurlow St, Georgetown, MA 01833-1129 | 2019-10-24 |
| Find all providers in zip 01833 | ||||
| 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 |
|---|---|---|---|---|
| 1295344489 | Haley Faye Price | Social Worker | 114 Brandywine Dr, Georgetown, KY 40324-1441 | 2020-07-24 |
| 1174166235 | Melissa L Gould LLC | Social Worker | 205 E University Ave Ste 151, Georgetown, TX 78626-6817 | 2019-10-22 |
| 1790326494 | Amy Renee Marino | Social Worker | 113 Whispering Wind Dr, Georgetown, TX 78633-4504 | 2019-10-03 |
| 1982162954 | Cassandra Kimberly Hesse | Social Worker | 101 W Cooperative Way Unit 238, Georgetown, TX 78626-8208 | 2019-03-07 |
| 1346723178 | Deaton & Deaton Counseling | Social Worker | 215 Montgomery Ave, Georgetown, KY 40324-1247 | 2018-09-07 |
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1811483944 | Katy Elizabeth Bruce | Social Worker | 1006 S Rock St # 102, Georgetown, TX 78626-5837 | 2018-07-01 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1235585837 | Stomptherapy LLC | Social Worker | 201 Duck Creek Ln, Georgetown, TX 78633-4114 | 2016-05-12 |
| 1972987105 | Winn Community Health Center, Inc. | Social Worker | 4528 Hwy 500, Georgetown, LA 71432 | 2015-07-17 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 01833 |
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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.