CHRISTINE A CORCORAN (NPI# 1336617935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336617935 |
| Entity Type | Individual |
| Full Name | CHRISTINE A CORCORAN |
| Practice Address |
434 Scott St Covington KY 41011-2342 |
| Practice Telephone | 5133547100 |
| Practice Fax Number | 5133547115 |
| Mailing Telephone | 5133547100 |
| Mailing Fax Number | 5133547115 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | S.1303134 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
253721 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSURE BOARD | 00000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710209036 | Christine M Corcoran | Registered Nurse | 2105 W Genesee St, Syracuse, NY 13219-1698 | 2010-03-01 |
| 1043253404 | Christine Corcoran | Nurse Practitioner | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2006-06-14 |
| Street Address |
434 SCOTT ST |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447271580 | Susan M Flowers | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2006-07-22 |
| 1275148298 | David Reis | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2020-09-15 |
| 1912497793 | Jeanne Ann Zeis | Pharmacist | 434 Scott St, Covington, KY 41011-2342 | 2018-05-16 |
| 1134630577 | Melanie R Shannon | Counselor | 434 Scott St, Covington, KY 41011-2342 | 2017-10-12 |
| 1083136832 | Megan Rolf | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2017-07-13 |
| 1528588613 | Amber Evans | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2017-06-21 |
| 1427411313 | Paul J Ruwe Inc | Pharmacy | 434 Scott St, Covington, KY 41011-2342 | 2016-03-30 |
| 1356727309 | Anna Stark | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2015-07-31 |
| 1902217615 | Cheryl Ann Mullins | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2014-05-15 |
| 1912318759 | John Mueller | Social Worker | 434 Scott St, Covington, KY 41011-2342 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| 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 |
|---|---|---|---|---|
| 1144870817 | Catreshia Brundage | Social Worker | 40 Brighton Ridge Ln, Covington, GA 30016-6626 | 2019-09-16 |
| 1073010856 | Jennifer Rhea Dudley | Social Worker | 221 N Monroe Ave, Covington, VA 24426-1409 | 2018-04-09 |
| 1104369602 | Angela Webb Deem | Social Worker | 104 Sherry May St, Covington, VA 24426-6000 | 2016-12-01 |
| 1568904365 | Aundretta Wood | Social Worker | 200 Colser Dr, Covington, GA 30016-0991 | 2016-11-09 |
| 1538615596 | Chandrika Monique Derricho | Social Worker | 140 Cambridge Way, Covington, GA 30016-4943 | 2016-08-30 |
| 1023481447 | Abg LLC | Social Worker | 50 E Rivercenter Blvd, Suite 416, Covington, KY 41011-1683 | 2015-11-06 |
| 1932596673 | Dawn Gritten | Social Worker | 318 4th St Ste B, Covington, IN 47932-1275 | 2015-04-21 |
| 1104222454 | Melissa Patrick | Social Worker | 5108 Newton Dr Ne, Covington, GA 30014-2678 | 2014-11-14 |
| 1619376704 | Lawrence W Schwarz | Social Worker | 208 N Tyler St, Covington, LA 70433-1456 | 2014-08-14 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| Find all providers in COVINGTON | ||||
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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.