Provider Demographics
NPI:1801166301
Name:CORSO, THOMAS J (MSW)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:CORSO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5518
Mailing Address - Country:US
Mailing Address - Phone:610-965-8984
Mailing Address - Fax:
Practice Address - Street 1:214 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5518
Practice Address - Country:US
Practice Address - Phone:610-965-8984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2011-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker