Individual provider Active NPI

Janice McKinley Coniglio, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1346204856
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 17192 Issued in CA
Practice address
500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone
(714) 480-6600
Fax
(714) 568-4527
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 17192 CA Primary

Addresses

Primary practice location

500 City Pkwy W Ste 200
Orange, CA 92868-2941

Mailing address

2130 Greenleaf St
Santa Ana, CA 92706-2534
Phone (714) 480-6600

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
LCS 17192CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Mar 16, 2021 Accepting new patients

Locations

500 City Pkwy W
Ste 200
Orange, CA 92868
Phone (714) 480-6600

1200 N Main St
Ste 500
Santa Ana, CA 92701
Phone (714) 480-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1346204856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GREENLEAF ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062534",
            "telephone_number": "714-480-6600",
            "fax_number": "714-568-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "714-480-6600",
            "fax_number": "714-568-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "JANICE",
        "middle_name": "MCKINLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.