Active NPI
Joan Quillman Palan, LCSW, LMFT, CAC III
- Clinical Social Worker
- Castle Rock, CO
National Provider Identifier
1750694857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.00001361
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0007113 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW.00001361 | CO | MD | Clinical Social Worker |
| MFT.0000907 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Family Therapy LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Clinical Social Worker
- Castle Rock, CO
- NPI 1154866069
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.