Individual provider Active NPI

Joan Quillman Palan, LCSW, LMFT, CAC III

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1750694857
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00001361 Issued in CO
Practice address
1275 Castle Pointe Dr
Castle Rock, CO 80104-3258
Phone
(303) 990-2696
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0007113 CO
Marriage & Family Therapist 106H00000X MFT.0000907 CO
Clinical Social Worker 1041C0700X CSW.00001361 CO Primary

Addresses

Primary practice location

1275 Castle Pointe Dr
Castle Rock, CO 80104-3258

Mailing address

1275 Castle Pointe Dr
Castle Rock, CO 80104-3258
Phone (303) 990-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 15, 2016 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACC.0007113COMDAddiction (Substance Use Disorder) Counselor
CSW.00001361COMDClinical Social Worker
MFT.0000907COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Family Therapy LLC Addiction (Substance Use Disorder) CurrentSince Dec 15, 2024 Accepting new patients

Locations

26689 Pleasant Park Rd
Ste 70
Conifer, CO 80433
Phone (303) 736-9590

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1750694857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CASTLE POINTE DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043258",
            "telephone_number": "303-990-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CASTLE POINTE DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043258",
            "telephone_number": "303-990-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAN",
        "first_name": "JOAN",
        "middle_name": "QUILLMAN",
        "credential": "LCSW, LMFT, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0007113",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0000907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.