Individual provider Active NPI

Christine Lynne Conigliaro, LCSW

  • Clinical Social Worker
  • Napa, CA
National Provider Identifier
1952501124
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62737 Issued in CA
Practice address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone
(707) 254-1770
Fax
(707) 254-1779
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 62737 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485

Mailing address

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone (707) 254-1770

Other practice location 1

456 Elm Ave
Long Beach, CA 90802-2426
Phone (562) 437-6717

Other practice location 2

236 Georgia St
Vallejo, CA 94590-5991
Phone (510) 901-1289

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024001766 CA Practitioner - Clinical Social Worker 5698007631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62737CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Aug 26, 2019 Accepting new patients
Ole Health CurrentSince Aug 26, 2019 Accepting new patients

Locations

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1100 Trancas St
Ste 300
Napa, CA 94558
Phone (707) 257-4084

Organizations & group practices 2

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1952501124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770",
            "fax_number": "707-254-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908022426",
            "country_code": "US",
            "telephone_number": "562-437-6717",
            "fax_number": "562-437-5072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905991",
            "country_code": "US",
            "telephone_number": "510-901-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONIGLIARO",
        "first_name": "CHRISTINE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.