Individual provider Active NPI

Bridget Conboy, LMSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1336701952
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15298 Issued in LA
Practice address
1525 River Oaks Rd W
New Orleans, LA 70123-2162
Phone
(504) 734-1740
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15298 LA Primary
Social Worker 104100000X 87697 CA

Addresses

Primary practice location

1525 River Oaks Rd W
New Orleans, LA 70123-2162

Mailing address

610 Hagan Ave
New Orleans, LA 70119-4913

Other practice location 1

2400 Canal St
New Orleans, LA 70119-6535
Phone (800) 935-8387

Other identifiers 2

IdentifierTypeStateIssuer
15298OtherLALOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
87697OtherCABOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15298LAMDSocial Worker
87697CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1336701952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HAGAN AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RIVER OAKS RD W",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232162",
            "telephone_number": "504-734-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196535",
            "country_code": "US",
            "telephone_number": "800-935-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "BRIDGET",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15298",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "87697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "15298",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "87697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.