Renee Concepcion, LISW-S, LICDC-CS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13771 Issued in FL

Practice address

8147 Emerald Winds Cir
Boynton Beach, FL 33473-7837

Phone

(513) 550-2322

NPI assigned

Feb 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1235379546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 EMERALD WINDS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737837",
            "telephone_number": "513-550-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 EMERALD WINDS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737837",
            "telephone_number": "513-550-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "RENEE",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Home Health Care, Inc. (Hospital Without Walls)
• Complete Virtual Care, LLC
• Complete Wellness P.a.
• Comprehensive Medical Excellence
• Comprehensive Mobile Medical LLC
• Concepts in Confidence Inc.
• Concierge PT Vip LLC
• Tiffany Conde, B A
• Joseph B. Condon, DDS
• Lorrie Conglose, LMHC

• Clinical Social Worker in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.