Individual provider Active NPI

Donald Thomas Conroy Jr., LCSW

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1235245945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW 8349 Issued in FL
Practice address
8515 NW 25TH PL
Coral Springs, FL 33065-5357
Phone
(954) 345-0845
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW 8349 FL Primary

Addresses

Primary practice location

8515 NW 25TH PL
Coral Springs, FL 33065-5357

Mailing address

8515 NW 25TH PL
Coral Springs, FL 33065-5357
Phone (954) 345-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070430000074 FL Practitioner - Clinical Social Worker 9436255908 Practice locations: Coral Springs, FL; Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1915 NE 45 St
Suite 210
Fort Lauderdale, FL 33308-5100
Phone (954) 643-3108

8515 NW 25 Place
Coral Springs, FL 33065-5357
Phone (954) 643-3108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8349FLMDMental Health Counselor

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235245945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 NW 25TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655357",
            "telephone_number": "954-345-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 NW 25TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655357",
            "telephone_number": "954-345-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW 8349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.