Active NPI
Larry Scott Conner, LCSW
- Clinical Social Worker
- Springfield, MO
National Provider Identifier
1619046034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2002019886
- Practice address
- Lakeland Regional Hospital
440 South Market
Springfield, MO 65806-2026 - Phone
- (417) 865-5581
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2002019886 | MO | Primary |
Addresses
Primary practice location
Lakeland Regional Hospital
440 South Market
Springfield, MO 65806-2026
Mailing address
5326 South Fort
Springfield, MO 65810
Phone (417) 818-2189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495971905 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002019886 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1619046034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5326 SOUTH FORT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65810",
"telephone_number": "417-818-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAKELAND REGIONAL HOSPITAL",
"address_2": "440 SOUTH MARKET",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062026",
"telephone_number": "417-865-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "LARRY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2002019886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495971905",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.