Active NPI
Donna Conrad
- Clinical Social Worker
- Syosset, NY
National Provider Identifier
1821058645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR019987-1
- Practice address
- 175 Jericho Tpke
Syosset, NY 11791-4532 - Phone
- (516) 621-7547
- Fax
- (516) 470-0809
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PR019987-1 | NY | Primary |
Addresses
Primary practice location
175 Jericho Tpke
Syosset, NY 11791-4532
Mailing address
175 Jericho Turnpike
Syosset, NY 11791
Phone (516) 621-7547
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR019987-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1821058645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 JERICHO TURNPIKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "516-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 JERICHO TPKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914532",
"telephone_number": "516-621-7547",
"fax_number": "516-470-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "DONNA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR019987-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.