Gail Conner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008713 Issued in VA

Practice address

302 N 2ND St
Bridgewater, VA 22812-1712

Phone

(540) 828-2681

Fax

(540) 828-3831

NPI assigned

Jan 3, 2017

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 LLCGroup PAC ID 2062881162, 97 clinicians

Region Ten Community Community Services BoardGroup PAC ID 3971401308, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gail.conner.1@14718.direct.athenahealth.com

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

• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699
  Medicare reassignment Care Compare group NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1508301375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GRANDVIEW DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807416",
            "telephone_number": "540-241-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 2ND ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121712",
            "telephone_number": "540-828-2681",
            "fax_number": "540-828-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Grandview Dr",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229807416",
            "country_code": "US",
            "telephone_number": "540-241-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Ceasar
• Maria Josephina Circosta
• Linsey Clarke, DO
• Joseph T Cockrell
• Michael John Combs, HIS
• Clover May Cooper
• Ryan Philip Costello
• Caroline Coulter, D.O.
• D and G DMD PLLC (Smiles for Life)
• Taylor-Rae Dandorth

• Clinical Social Worker in Bridgewater, VA
• Providers in Bridgewater, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.