CHRISTINE CORNETTE (LICSW) – Clinical Social Worker, NPI 1295205250

CHRISTINE CORNETTE (LICSW) is a healthcare provider. based in Andover, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 121608 (MA). The NPI Number for CHRISTINE CORNETTE (LICSW) is 1295205250

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE CORNETTE (LICSW)
NPI
1295205250
Phone
(978) 333-3121
Address
12 ESSEX ST
Enumeration Date
3 December 2018
Last Update Date
3 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782965595
Graduation Year
2016 (10 years ago)
PAC ID
0840604377
Group Practice PAC ID
2860836715
Professional Enrollment ID
I20210125002048
Address ID
MA018454721NO431XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for CHRISTINE CORNETTE (LICSW)

  • 12, Essex Street, Andover, Essex County, Massachusetts, 01810, United States

    ANDOVER, MA 018103728

    Phone: (978) 333-3121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210125002048IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01810)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860836715View full group profile
NameSpecialtyState
Clinical PsychologistNH
Clinical PsychologistMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

How is CHRISTINE CORNETTE (LICSW) identified in CMS data?
CMS-hosted NPPES data lists CHRISTINE CORNETTE (LICSW) with NPI 1295205250.
Can I rely on CHRISTINE CORNETTE (LICSW) being an active provider?
As of the registry snapshot, CHRISTINE CORNETTE (LICSW) is marked active.
What taxonomy line describes CHRISTINE CORNETTE (LICSW)?
For research purposes, treat CHRISTINE CORNETTE (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does CHRISTINE CORNETTE (LICSW) serve?
CHRISTINE CORNETTE (LICSW)'s listing highlights Andover, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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