Active NPI
Brian Conlan, MSW LCSW
- Counselor
- Glendale, CA
National Provider Identifier
1801906920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCS4412
- Practice address
- 6425 San Fernando Rd
Glendale, CA 91201 - Phone
- (818) 956-0101
- Fax
- (818) 956-1413
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCS4412 | CA | Primary |
Addresses
Primary practice location
6425 San Fernando Rd
Glendale, CA 91201
Mailing address
6425 San Fernando Rd
Glendale, CA 91201
Phone (818) 956-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS4412 | Other | CA | CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215000430 | CA | Practitioner - Clinical Social Worker | 6103006705 | Practice locations: Glendale, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6425 San Fernando Rd
Glendale, CA 91201-3624
Phone (818) 956-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS4412 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Disorder Institute of California | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Glendale, CA
- NPI 1922319441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801906920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 SAN FERNANDO RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91201",
"telephone_number": "818-956-0101",
"fax_number": "818-956-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 SAN FERNANDO RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91201",
"telephone_number": "818-956-0101",
"fax_number": "818-956-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLAN",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "LCS4412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "LCS4412",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Comprehensive Therapy Associates, Inc
- June A. Concepcion, MSN, FNP
- Concept Home Health Care, Inc.
- Concord Hospitalist Group a Medical Corporation
- Rheya Conde, RPH
- Connect Hearing, Inc.
- Emily Beth Conner, PTA
- Elizabeth Connor
- Barton William Conroy, D.D.S.
- Conscious Connections Psychological Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.