Provider Demographics
NPI:1619674025
Name:TALBOTT, CORINNE S (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:S
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W SECOND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:KS
Mailing Address - Zip Code:67748-1258
Mailing Address - Country:US
Mailing Address - Phone:785-675-0225
Mailing Address - Fax:
Practice Address - Street 1:703 W SECOND ST
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:KS
Practice Address - Zip Code:67748-1258
Practice Address - Country:US
Practice Address - Phone:785-675-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS057991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical