Individual provider Active NPI

Pamela Wood Conner, MSW/LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1710164033
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989839 Issued in CO
Practice address
15968 Longmeadow LN
Colorado Springs, CO 80921-3710
Phone
(719) 338-2216
Fax
(719) 488-2011
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989839 CO Primary

Addresses

Primary practice location

15968 Longmeadow LN
Colorado Springs, CO 80921-3710

Mailing address

15968 Longmeadow LN
Colorado Springs, CO 80921-3710
Phone (719) 338-2216

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

LicenseStateTypeSpecialty
989839COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1710164033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15968 LONGMEADOW LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213710",
            "telephone_number": "719-338-2216",
            "fax_number": "719-488-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15968 LONGMEADOW LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213710",
            "telephone_number": "719-338-2216",
            "fax_number": "719-488-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "PAMELA",
        "middle_name": "WOOD",
        "name_prefix": "Mrs.",
        "credential": "MSW/LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.