Active NPI
Susan Conceicao, LCSW
- Clinical Social Worker
- Westminster, CO
National Provider Identifier
1124274287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6128064
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R02987801 | Other | NY | NYS LICENSE |
| 09923110 | Other | CO | COLORADO 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09923110 | CO | MD | Clinical Social Worker |
| 6128064 | NY | MD | Clinical Social Worker |
| 029848 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Conceicao LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.