National Provider Identifier Database

TIMOTHY W CORLISS, MSW – NPI #1053407429
Social Worker

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.


Contact Information

TIMOTHY W CORLISS, MSW
10 MEADOWBROOK RD
BROCKTON, MA02301
Phone: 508-894-4945
Fax:
Website:
Specialty Taxonomy Code
* Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY W CORLISS

NPI Number 1053407429
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 10/05/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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