Mr Douglas Jon Conroy, LICENCSE CLINICAL SO in Bridgeport, CT

Mr Douglas Jon Conroy, LICENCSE CLINICAL SO is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Connecticut. His current practice location is Southwest Ct Mental Health Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 551-7660.

Mr Douglas Jon Conroy is licensed to practice in Connecticut (license number 004402) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952469298.

Contact Information

	Mr Douglas Jon Conroy, LICENCSE CLINICAL SO
	Southwest Ct Mental Health Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, CT 06610
	(203) 551-7660
	(203) 551-7481

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas Jon Conroy
Gender	Male
Speciality	Social Worker - Clinical
Location	Southwest Ct Mental Health Attn Sandra Grazynski, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952469298
Provider Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719167196
Enrollment ID: I20110203000085

Medical Identifiers

Medical identifiers for Mr Douglas Jon Conroy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952469298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	004402 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Douglas Jon Conroy allows following entities to bill medicare on his behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841225489 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000427

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Jon Conroy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Douglas Jon Conroy, LICENCSE CLINICAL SO Southwest Ct Mental Health Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, CT 06610 Ph: (203) 551-7660	Mr Douglas Jon Conroy, LICENCSE CLINICAL SO Southwest Ct Mental Health Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, CT 06610 Ph: (203) 551-7660

Reviews and Comments

Social Worker in Bridgeport, CT

Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481

Mr Douglas Jon Conroy, LICENCSE CLINICAL SO - Medicare Clinical Social Worker in Bridgeport, CT