Active NPI
Elizabeth Conlan, LCSW
- Clinical Social Worker
- Redwood City, CA
National Provider Identifier
1194429001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW19012
- Practice address
- 61 Renato CT Ste 23
Redwood City, CA 94061-4016 - Phone
- (650) 556-4906
- NPI assigned
- Mar 27, 2023
- Last updated
- Dec 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW19012 | CA | Primary |
Addresses
Primary practice location
61 Renato CT Ste 23
Redwood City, CA 94061-4016
Mailing address
61 Renato CT Ste 23
Redwood City, CA 94061-4016
Phone (650) 556-4906
Other names 1
- Betsy Conlan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 27, 2023 through Mar 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW19012 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1194429001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 RENATO CT STE 23",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940614016",
"telephone_number": "650-556-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 RENATO CT STE 23",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940614016",
"telephone_number": "650-556-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLAN",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW19012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY",
"last_name": "CONLAN",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.