Philip Conrad, LCSW
Individual provider Active NPI Clinical Social Worker · The Colony, TX
NPI 1053372979 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1053372979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 52003 (TX)
- Practice address
- 6115 Saintsbury Drive
No 25
The Colony, TX 75056-5212 - Phone
- (469) 358-1060
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurasource LTD | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 52003 | TX | Yes |
Addresses
Primary practice location
6115 Saintsbury Drive
No 25
The Colony, TX 75056-5212
Mailing address
6115 Saintsbury Dr
No 25
The Colony, TX 75056-5388
Phone (469) 358-1060
Other providers in The Colony, TX
- Colony Chiropractic PA
- Colony Eye Care, PLLC
- Colony Family Chiropractic PLLC
- Colony Ip, PLLC
- Colony Vision Center PC
- Max Lee Cook
- Cookie and Sons
- Kimberly Ann Cooper
- Huong Nguyen Corbett
- Rachel Rebecca Corley
All providers in The Colony, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.