Individual provider Active NPI

Lidia Emperatriz Conners, LCSW

  • Clinical Social Worker
  • Leavenworth, KS
National Provider Identifier
1003217233
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 12201 Issued in FL
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260601000090 KS Practitioner - Clinical Social Worker 9133699192 Reassigns benefits to 1 organization
I20260601000107 MO Practitioner - Clinical Social Worker 9133699192 Reassigns benefits to 1 organization
I20260608000156 FL Practitioner - Clinical Social Worker 9133699192 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SW 12201FLMDClinical 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.

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

Verify at the official NPI Registry.