Jillian Gurba Korb, LCSW
Social Worker, Clinical in Medford, NY. Individual provider (NPI-1).
NPI number1164091591
StatusActive
Last updated in NPPESDec 18, 2025
Details
- NPI
- 1164091591
- Entity type
- Individual (NPI-1)
- Name
- Jillian Gurba Korb
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Dec 18, 2025
- Last updated
- Dec 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101345 | NY | Yes |
Practice location
1727 N Ocean AveMedford, NY 11763-2649
Phone 631-654-1919
Mailing address
90 Cherry LnHicksville, NY 11801-6232
Phone 516-733-5823
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