Active NPIIndividual providerSole proprietor

Cory Loder, LICSW

Social Worker, Clinical in Great Barrington, Massachusetts

NPI Number1336293695
Practice location
25 Cottage St, Brien Center Main St. Human Resources, Great Barrington, MA 01230-1329
Fax
—
Last updated
July 8, 2007

Cory Loder is a Social Worker, Clinical based in Great Barrington, MA. Cory Loder practices in Great Barrington, MA and has the professional credentials of LICSW. The NPI Number for Cory Loder is 1336293695 and holds a License No. 106296 (MA). The current practice location address for Cory Loder is 25 Cottage St, Brien Center Main St. Human Resources, Great Barrington, MA 01230-1329 and can be reached out via phone at 413-528-9155.

Provider Profile Details

NPI Number
1336293695
Provider Name
Cory Loder
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
25 Cottage St, Brien Center Main St. Human Resources, Great Barrington, MA 01230-1329
Phone Number
413-528-9155
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Cottage St
Brien Center Main St. Human Resources
Great Barrington, MA 01230-1329
Zip
01230-1329
Phone Number
413-528-9155
Great Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
9 Miller View Road
North Egremont, MA 01252
City
North Egremont
State
MA
Zip
01252
Phone Number
413-528-9285

License Information

License Number
106296
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cory Loder, LICSW?

The NPI number of Cory Loder, LICSW is 1336293695. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Cory Loder, LICSW?

Cory Loder, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106296.

Where does Cory Loder, LICSW practice?

The practice location is 25 Cottage St, Brien Center Main St. Human Resources, Great Barrington, MA 01230-1329. The office can be reached at 413-528-9155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336293695 directly on the NPPES registry website.

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