Active NPI
Lidia Emperatriz Conners, LCSW
- Clinical Social Worker
- Leavenworth, KS
National Provider Identifier
1003217233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 12201
- Practice address
- 501 Delaware St
Leavenworth, KS 66048-2642 - Phone
- (913) 802-3625
- Fax
- (316) 347-2463
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 12201 | FL | Primary |
Addresses
Primary practice location
501 Delaware St
Leavenworth, KS 66048-2642
Mailing address
Santiago de Veraguas
Veraguas, PANAMA 507
PA
Other practice location 1
801 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 830-6412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 12201 | FL | MD | Clinical Social Worker |
Networks
- IA HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Wichita, KS
- NPI 1831848316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003217233",
"addresses": [
{
"country_code": "PA",
"country_name": "Panama",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "SANTIAGO DE VERAGUAS",
"city": "VERAGUAS",
"state": "PANAMA",
"postal_code": "507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DELAWARE ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660482642",
"telephone_number": "913-802-3625",
"fax_number": "316-347-2463"
}
],
"practiceLocations": [
{
"address_1": "801 Douglas Ave",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "32714",
"country_code": "US",
"telephone_number": "407-830-6412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNERS",
"first_name": "LIDIA",
"middle_name": "EMPERATRIZ",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 12201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.