Provider Demographics
NPI:1376056077
Name:CORBETTA, CLAIRE MADELEINE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MADELEINE
Last Name:CORBETTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:MADELEINE
Other - Last Name:VIGREUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 MORNINGSIDE AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:280 MADISON AVE RM 608
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0800
Practice Address - Country:US
Practice Address - Phone:646-389-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health