Andrea Conboy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22516 Issued in CA

Practice address

2924 Emerson St Ste 207
San Diego, CA 92106-2795

Phone

(760) 707-9520

NPI assigned

Nov 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1962739045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 RONDA PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920271613",
            "telephone_number": "760-707-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EMERSON ST STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062795",
            "telephone_number": "760-707-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22516",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Compton
• Christopher E Comstock, M.D.
• Sandra A Comstock, CNM
• Andrea Kamille Conanan, MS
• John Conard, PHD, BCBA-D
• Barbara T Conboy, PHD, CCC-SLP
• Melissa S Conboy, CMT
• Samantha Conboy, CCH
• Paulo Conceicao
• Joseph M Concellosi, LCSW

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.