Individual provider Active NPI

Lillitsy Lourdes Conley, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1740298801
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6530 Issued in FL
Practice address
4055 Cedar Creek Ranch Cir
Lake Worth, FL 33467-3727
Phone
(561) 352-7741
NPI assigned
Aug 4, 2006
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 SW6530 FL Primary

Addresses

Primary practice location

4055 Cedar Creek Ranch Cir
Lake Worth, FL 33467-3727

Mailing address

4055 Cedar Creek Ranch Cir
Lake Worth, FL 33467-3727
Phone (561) 352-7741

Other practice location 1

295 Church St SE Apt 305
Salem, OR 97301-3832
Phone (503) 450-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000788 FL Practitioner - Clinical Social Worker 4082613070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multilingual Psychotherapy Centers, Inc. CurrentSince May 4, 2020 Accepting new patients
Coordinated Counseling for Children Past Accepting new patients

Locations

1639 Forum Pl
Ste 7
West Palm Beach, FL 33401

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1740298801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 CEDAR CREEK RANCH CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673727",
            "telephone_number": "561-352-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 CEDAR CREEK RANCH CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673727",
            "telephone_number": "561-352-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Church St SE Apt 305",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013832",
            "country_code": "US",
            "telephone_number": "503-450-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "LILLITSY",
        "middle_name": "LOURDES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.