Gail Conner, LCSW
Individual provider Active NPI Clinical Social Worker · Bridgewater, VA
NPI 1508301375 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1508301375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904008713 (VA)
- Practice address
- 302 N 2ND St
Bridgewater, VA 22812-1712 - Phone
- (540) 828-2681
- Fax
- (540) 828-3831
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifebulb LLC
Region Ten Community Community Services Board
Practice addresses (Care Compare)
2340 Commonwealth Dr
Suite 101
Charlottesville, VA 22901-1634
Phone (732) 451-3895
800 Preston Ave
Charlottesville, VA 22903-4420
Phone (804) 972-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828003349 | VA | Practitioner - Clinical Social Worker | 8022380914 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008713 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebulb LLC | Current |
Accepting new patients | |
| Region Ten Community Community Services Board | Current |
Accepting new patients |
Locations
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
6210 Old Franconia Rd
#A
Alexandria, VA 22310
Phone (703) 955-3703
2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895
502 Old Lynchburg Rd
Charlottesville, VA 22903
Phone (434) 972-1800
800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624
500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800
Interoperability endpoints
- gail.conner.1@14718.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008713 | VA | Yes |
Addresses
Primary practice location
302 N 2ND St
Bridgewater, VA 22812-1712
Mailing address
22 Grandview Dr
Waynesboro, VA 22980-7416
Phone (540) 241-2082
Other practice location 1
22 Grandview Dr
Waynesboro, VA 22980-7416
Phone (540) 241-2082
Other providers in Bridgewater, VA
- Janine Ceasar
- Maria Josephina Circosta
- Linsey Clarke
- Joseph T Cockrell
- Michael John Combs
- Clover May Cooper
- Ryan Philip Costello
- Caroline Coulter
- D and G DMD PLLC
- Taylor-Rae Dandorth
All providers in Bridgewater, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.