Conquest Health & Wellness, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONQUEST HEALTH & WELLNESS, LLC.

Practice address

2015 Shannon Lakes CT
Kissimmee, FL 34743-3651

Phone

(407) 694-6304

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Javier Esteban RosarioNPI 1124578364

Title

LCSW/Executive Director

Phone

(407) 694-6304

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Esteban Rosario, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1124578364
  NPD Authorized official
• Janelle Gonzalez, MSW

  • Clinical Social Worker
  • Kissimmee, FL
  • NPI 1134667371
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1316565252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 875",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 SHANNON LAKES CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347433651",
            "telephone_number": "407-694-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "LCSW/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-694-6304"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie S Congote
• Connection Health LLC
• Connections Counseling Services, LLC
• Julia Wyatt Connor, PT, DPT
• Nikki Conomos
• Phoenix Constant, PHARM.D.
• Ingrid Josefina Constanzo Mobley
• Maria Contreras Salas
• Irmaris R Contreras, RBT
• Kimberlyn Contreras, DC

• Clinical Social Worker in Kissimmee, FL
• Providers in Kissimmee, 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 Jul 7, 2020; 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.