Active NPI
Conquest Therapy, LCSW, PLLC
- Clinical Social Worker
- Bemus Point, NY
National Provider Identifier
1548089725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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 THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Paulson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryPractitioners & 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.