Individual provider Active NPI

Susan Conceicao, LCSW

  • Clinical Social Worker
  • Westminster, CO
National Provider Identifier
1124274287
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6128064 Issued in NY
Practice address
10154 Grove Loop Unit C
Westminster, CO 80031-6797
Phone
(646) 338-9547
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09923110 CO
Clinical Social Worker 1041C0700X 6128064 NY Primary

Addresses

Primary practice location

10154 Grove Loop Unit C
Westminster, CO 80031-6797

Mailing address

10154 Grove Loop Unit C
Westminster, CO 80031-6797
Phone (646) 338-9547

Other identifiers 2

IdentifierTypeStateIssuer
R02987801OtherNYNYS LICENSE
09923110OtherCOCOLORADO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220106000186 CO Practitioner - Clinical Social Worker 5597832196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10154 Grove Loop
Unit C
Westminster, CO 80031-6797
Phone 3036746400204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09923110COMDClinical Social Worker
6128064NYMDClinical Social Worker
029848NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Conceicao LLC CurrentSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1124274287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 GROVE LOOP UNIT C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316797",
            "telephone_number": "646-338-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10154 GROVE LOOP UNIT C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316797",
            "telephone_number": "646-338-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEICAO",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923110",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "6128064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "R02987801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "09923110",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.