Organization Active NPI

Conquest Therapy, LCSW, PLLC

  • Clinical Social Worker
  • Bemus Point, NY
National Provider Identifier
1548089725
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONQUEST THERAPY, LCSW, PLLC
Practice address
4125 Salisbury Rd
Bemus Point, NY 14712-9747
Phone
(716) 272-2208
NPI assigned
Oct 7, 2024
Organization subpart
Yes
Parent organization
JULIA PAULSON COUNSELING AND THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Julia Paulson, LCSWNPI 1982090460
Title
Owner
Phone
(716) 272-2208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4125 Salisbury Rd
Bemus Point, NY 14712-9747

Mailing address

4125 Salisbury Rd
Bemus Point, NY 14712-9747
Phone (716) 272-2208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1548089725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SALISBURY RD",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129747",
            "telephone_number": "716-272-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 SALISBURY RD",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129747",
            "telephone_number": "716-272-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST THERAPY, LCSW, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JULIA PAULSON COUNSELING AND THERAPY",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-272-2208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemus Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.