National Provider Identifier

Corrine Marie Wilson, LMSW

Corrine Marie Wilson, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 922-3653.

NPI 1598253940Rochester, NYSocial Worker

Profile Overview

NPI
1598253940
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 01, 2018
Last Updated
May 01, 2018

Practice Location

  • 1415 Portland Ave Ste 400
  • Rochester, NY 14621-3022

Phone: (585) 922-3653

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1598253940
Entity Type
Individual
Last Name
Wilson
First Name
Corrine
Middle Name
Marie
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
1415 Portland Ave Ste 400
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3022
Mailing Country
US
Mailing Phone
(585) 922-3653
Mailing Fax
(585) 922-4200
Practice Street Address
1415 Portland Ave Ste 400
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3022
Practice Country
US
Practice Phone
(585) 922-3653
Practice Fax
(585) 922-4200
Enumeration Date
May 01, 2018
Last Updated
May 01, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)