COREY NICOLE SMITH – Social Worker, NPI 1124769690

COREY NICOLE SMITH is a healthcare provider. based in Branchburg, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 44SL06577100 (NJ). The NPI Number for COREY NICOLE SMITH is 1124769690

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
COREY NICOLE SMITH
NPI
1124769690
Phone
(609) 599-8422
Address
971 US Highway 202 N # 5422
Enumeration Date
6 April 2022
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329878200
Graduation Year
2020 (6 years ago)
PAC ID
6608240973
Group Practice PAC ID
3971593161
Professional Enrollment ID
I20230328002489
Address ID
NJ077313380HO4539X9XXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for COREY NICOLE SMITH

  • 971 US Highway 202 N # 5422

    Branchburg, NJ 088763757

    Phone: (609) 599-8422

    Type: Location

  • 671 HOES LANE

    PISCATAWAY, NJ 08854

    Phone:

    Type: Mailing

  • 183 S ORANGE AVE FL E

    NEWARK, NJ 071032757

    Phone: (973) 972-6523

    Type: Location

  • 270 NJ-35

    RED BANK, NJ 077010770

    Phone: (732) 842-2000

    Type: Mailing

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: 2023-03-28

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
I20230328002489IClinical Social WorkerNJTBD

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 08876)

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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: 3971593161View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Clinical Social WorkerNJ
-NJ
Psychiatry, Addiction MedicineNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
-NJ
Mental Health CounselorNJ

Reviews

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Frequently asked questions

How is COREY NICOLE SMITH identified in CMS data?
CMS-hosted NPPES data lists COREY NICOLE SMITH with NPI 1124769690.
Is COREY NICOLE SMITH listed as active for patients and plans?
The listing shows COREY NICOLE SMITH as active in the NPI system.
What is COREY NICOLE SMITH's primary classification?
Social Worker is the headline specialty for COREY NICOLE SMITH here. Clinical services aligned with this taxonomy classification.
Where is COREY NICOLE SMITH based?
COREY NICOLE SMITH is tied to Branchburg, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about COREY NICOLE SMITH up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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