Healthcare Provider Details

I. General information

NPI: 1659414977
Provider Name (Legal Business Name): PATRICIA JANE CORBIN LSW, ACSW, LCAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N COMMERCE W DR
GREENSBURG IN
47240-3205
US

IV. Provider business mailing address

1531 13TH ST STE 2540
COLUMBUS IN
47201-1305
US

V. Phone/Fax

Practice location:
  • Phone: 812-663-7057
  • Fax:
Mailing address:
  • Phone: 812-372-3745
  • Fax: 812-372-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33004898A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number87000036A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: