Mary Ellen Condas, LCSW
Individual provider Active NPI Clinical Social Worker · Galt, CA
NPI 1396978201 · NPPES record last updated Aug 25, 2009
Key facts
- NPI
- 1396978201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS 18162 (CA)
- Practice address
- 216 N Lincoln Way Ste 30
Galt, CA 95632-1715 - Phone
- (916) 708-0489
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 18162 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 18162 | CA | Yes |
Addresses
Primary practice location
216 N Lincoln Way Ste 30
Galt, CA 95632-1715
Mailing address
216 N Lincoln Way Ste 30
Galt, CA 95632-1715
Phone (916) 708-0489
Other providers in Galt, CA
- Iririan Castaneda
- Simina Caza
- Chino Residential Care Home LLC
- Robert Cobb
- Carina Alyssa Colomer
- Luis Cornejo
- Ashley Inez Cottrell
- County of Sacramento
- Audra Renee Crocker
- Kendra Kay Marie Cross
All providers in Galt, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.