Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roger L. Corbin, LCSW

Individual provider Clinical Social Worker · NPI 1891359402

Roger L. Corbin, LCSW is a Clinical Social Worker in Port Orange, Florida. Qualified in 2019, 7 years ago. Practices with Valera Medical PC, a 161-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Massachusetts.

Years since qualifying
7
Licensed in
FL, MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103
Phone: (386) 333-9717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW19198 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW126527 (MA)

Record details

NPI number1891359402
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Valera Medical Pc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Orange