Provider Demographics
NPI:1194097253
Name:PAYNE, CORINNE E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CORINNE
Middle Name:E
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:E
Other - Last Name:KOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20 ERFORD RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1163
Mailing Address - Country:US
Mailing Address - Phone:717-608-6781
Mailing Address - Fax:
Practice Address - Street 1:20 ERFORD RD
Practice Address - Street 2:SUITE 216
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1163
Practice Address - Country:US
Practice Address - Phone:717-608-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128057104100000X
PACW0175881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker