Individual provider Active NPI

Veronica Conley, LCSW

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1447622204
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923884 Issued in CO
Practice address
419 Jerry St
Castle Rock, CO 80104-2416
Phone
(720) 370-3010
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 09923884 CO Primary

Addresses

Primary practice location

419 Jerry St
Castle Rock, CO 80104-2416

Mailing address

PO Box 201
Elbert, CO 80106-0201
Phone (406) 781-7220

Other practice location 1

6450 Old Ranch Rd
Colorado Springs, CO 80908-3920
Phone (719) 445-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 27, 2022 through Oct 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09923884COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Connections Counseling, LLC CurrentSince Aug 25, 2024 Accepting new patients
Veronica Conley LCSW Clinical Past Accepting new patients

Locations

419 Jerry St
Castle Rock, CO 80104
Phone (720) 370-3010

Organizations & group practices 2

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1447622204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801060201",
            "telephone_number": "406-781-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 JERRY ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042416",
            "telephone_number": "720-370-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 Old Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809083920",
            "country_code": "US",
            "telephone_number": "719-445-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.