Active NPI
Anna Lisa Conlin, LCSW-S
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1942490487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3724 Jefferson St Ste 200
Austin, TX 78731-6221 - Phone
- (512) 436-5723
- NPI assigned
- Jul 31, 2007
- 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 | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 200
Austin, TX 78731-6221
Mailing address
3724 Jefferson St Ste 200
Austin, TX 78731-6221
Phone (512) 436-5723
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8KH607 | Other | TX | BCBS OF TX |
| 395135201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1942490487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316221",
"telephone_number": "512-436-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316221",
"telephone_number": "512-436-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "ANNA",
"middle_name": "LISA",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2024-06-12",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "8KH607",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "395135201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.