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MRS. CORETHA MARIE CLAIBORN CSAC,MAC,SAP,LSATP
NPI 1942479381
Counselor - Addiction (Substance Use Disorder) in Petersburg, VA

Active since February 29, 2008PECOS Enrolled
700 S. SYCAMORE STREET, SUITE 6, PETERSBURG, VA 23234(804) 855-8625 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mrs. Coretha Marie Claiborn Csac,mac,sap,lsatp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CORETHA MARIE CLAIBORN CSAC,MAC,SAP,LSATP (NPI 1942479381) is an individual addiction (substance use disorder) provider in Petersburg, Virginia, licensed in Virginia (0718000231) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942479381
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CORETHA MARIE CLAIBORNCredential: CSAC,MAC,SAP,LSATP
Location Address700 S. SYCAMORE STREET, SUITE 6Petersburg, VA 23234
Mailing Address7053 Omalley DriveRichmond, VA 23234 · (804) 275-2340
Phone(804) 855-8625
Sole ProprietorYes
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMarch 17, 2010
✔ NPI 1942479381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in VA · 0718000231✔ Licensed in VA · 0710101777
700 S. SYCAMORE STREET, Petersburg, VA 23234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Coretha Marie Claiborn Csac,mac,sap,lsatp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coretha Claiborn's NPI number?

The NPI number for Coretha Claiborn is 1942479381. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Where is Coretha Claiborn located?

Coretha Claiborn practices at 700 S. Sycamore Street Suite 6, Petersburg, VA 23234. The listed phone number is (804) 855-8625.

What is Coretha Claiborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Coretha Claiborn enrolled in Medicare?

Yes. Coretha Claiborn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coretha Claiborn was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.