Joseph M Concellosi, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS13561 Issued in CA

Practice address

3320 Kemper St
Suite 104
San Diego, CA 92110-4903

Phone

(619) 758-6205

Fax

(619) 752-6209

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Special Education Services

  • Case Management Agency
  • San Diego, CA
  • NPI 1275669582

  Community/Behavioral Health

  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710003660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 KEMPER ST",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104903",
            "telephone_number": "619-758-6205",
            "fax_number": "619-752-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 KEMPER ST",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104903",
            "telephone_number": "619-758-6205",
            "fax_number": "619-752-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCELLOSI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS13561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "LCS13561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Conboy, LCSW
• Barbara T Conboy, PHD, CCC-SLP
• Melissa S Conboy, CMT
• Samantha Conboy, CCH
• Paulo Conceicao
• Concentric Diagnostics LLC
• Danielle Concepcion-Rosengren
• Anna Garcia Concepcion, PA-C
• Edmund Turla Concepcion, PA
• Gina Marie Concepcion, MA

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.