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Clinical Social Worker · Corning, NY

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At a glance

100 Corning Blvd, Corning, NY 14830-2043

NPPES record updated Sep 21, 2026. Public records can lag behind changes at a practice.

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Practice location

100 Corning Blvd
Corning, NY 14830-2043

Professional details: NPI, taxonomy & registry record

NPI1194637421

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Sep 21, 2026
Record updated: Sep 21, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

100 Corning Blvd
Corning, NY 14830-2043

Phone: (570) 418-0644

Mailing address

100 CORNING BLVD

CORNING, NY 148302043

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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