CORRINE LYNN FABOZZI (NPI# 1174034136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174034136 |
| Entity Type | Individual |
| Full Name | CORRINE LYNN FABOZZI |
| Credential | LCSW |
| Practice Address |
573 Falcon Trl Niceville FL 32578-1061 |
| Practice Telephone | 8503764735 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW14632 | FL | Behavioral Health & Social Service Providers |
| Street Address |
573 FALCON TRL |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1891319620 | Shannon Garcia | Social Worker | 19 Lanman Rd, Niceville, FL 32578-3622 | 2020-06-08 |
| 1851949077 | Katie Allison O'brien | Social Worker | 1041 John Sims Pkwy E Ste 304, Niceville, FL 32578-2712 | 2019-08-30 |
| 1750824488 | Michelle Renee Pettit | Social Worker | 4400 E Highway 20 Ste 306, Niceville, FL 32578-7703 | 2016-11-29 |
| 1427443720 | Carmen Y. Brezna | Social Worker | 636 Kilcullen Dr, Niceville, FL 32578-7301 | 2015-04-02 |
| 1184047649 | Jennifer Elizabeth Tallman | Social Worker | 1417 Partin Dr N Ste 1, Niceville, FL 32578-1426 | 2014-02-03 |
| 1619233566 | Ruby Lisa Hawkins-jack | Social Worker | 358 Jamaica Way, Niceville, FL 32578-3831 | 2012-04-04 |
| 1699916593 | Taryn Celeste Jones | Social Worker | 1041 John Sims Pkwy E, Niceville, FL 32578-2712 | 2009-03-23 |
| 1942414008 | Julia Harris Vanover | Social Worker | 107 Mulry Dr, Niceville, FL 32578-2398 | 2007-05-09 |
| 1467411272 | Patti Sue Swenson-abraham | Social Worker | 222 Government Ave, Suite A, Niceville, FL 32578-1868 | 2006-03-21 |
| 1912410218 | Lois Nannette Borland | Social Worker | 4400 E Highway 20 Ste 306, Niceville, FL 32578-7703 | 2017-11-08 |
| Find all providers in NICEVILLE | ||||
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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.