Healthcare Provider Details

I. General information

NPI: 1538077334
Provider Name (Legal Business Name): HELEN CORBELLA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 RUBIN LN
OCEAN NJ
07712-8720
US

IV. Provider business mailing address

14 RUBIN LN
OCEAN NJ
07712-8720
US

V. Phone/Fax

Practice location:
  • Phone: 732-859-6467
  • Fax:
Mailing address:
  • Phone: 732-859-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06577900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: