Active NPI
Daniel Conditt, LCSW
- Clinical Social Worker
- Anaheim, CA
National Provider Identifier
1730274754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS18403
- Practice address
- 1900 E la Palma Ave
Ste 101
Anaheim, CA 92805-1647 - Phone
- (714) 399-3480
- Fax
- (714) 399-3481
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | LCS18403 | CA | Primary |
Addresses
Primary practice location
1900 E la Palma Ave
Ste 101
Anaheim, CA 92805-1647
Mailing address
1900 E la Palma Ave
Ste 101
Anaheim, CA 92805-1647
Phone (714) 399-3480
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18403 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1730274754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E LA PALMA AVE",
"address_2": "STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051647",
"telephone_number": "714-399-3480",
"fax_number": "714-399-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E LA PALMA AVE",
"address_2": "STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051647",
"telephone_number": "714-399-3480",
"fax_number": "714-399-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDITT",
"first_name": "DANIEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS18403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.