Ellen M Condelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005181 Issued in NC

Practice address

146 Wind Chime CT
Raleigh, NC 27615-6433

Phone

(919) 539-7551

Fax

(919) 861-8893

NPI assigned

Mar 22, 2007

Last updated

Mar 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1326165754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DIGBY CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134320",
            "telephone_number": "919-539-7551",
            "fax_number": "919-861-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156433",
            "telephone_number": "919-539-7551",
            "fax_number": "919-861-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDELLI",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie Ann Comstock, PAC
• Michael Chester Comstock, M.C. P.A.
• Jennifer Conaty, PH.D., HSP-P
• Concentra Health Services, Inc.
• Mia Helene Concepcion
• Alanna Adler Conder, PSY.D.
• Robert Lake Conder Jr., PSY.D.
• Katherine Pilar Condes, P.T.
• Thomas Alan Cone II, M.S., LAT, ATC
• Dalvis Steve Conerly, LPC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.