Active NPI
Carra Conlan, LCSW
- Clinical Social Worker
- Milford, CT
National Provider Identifier
1013764463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006980
- Practice address
- 528 Wheelers Farms Rd
Milford, CT 06461-1847 - Phone
- (203) 713-7728
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 006980 | CT | Primary |
Addresses
Primary practice location
528 Wheelers Farms Rd
Milford, CT 06461-1847
Mailing address
19 Windsor Rd E
North Haven, CT 06473-3018
Phone (203) 836-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006980 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boys and Girls Village | Past | Accepting new patients | |
| Boys & Girls Village | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Milford, CT
- NPI 1477583581
-
- Community/Behavioral Health Agency
- Bridgeport, CT
- NPI 1497295208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1013764463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WINDSOR RD E",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733018",
"telephone_number": "203-836-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 WHEELERS FARMS RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064611847",
"telephone_number": "203-713-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLAN",
"first_name": "CARRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
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- Connecticut CVS Pharmacy LLC
- Connecticut CVS Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.