Individual provider Active NPI

Nancy J Conway, LCSW

  • Clinical Social Worker
  • Malvern, PA
National Provider Identifier
1003192212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019584 Issued in PA
Practice address
617B Swedesford Rd
Malvern, PA 19355-1530
Phone
(610) 251-0821
Fax
(610) 251-0822
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW128684 PA
Clinical Social Worker 1041C0700X CW019584 PA Primary

Addresses

Primary practice location

617B Swedesford Rd
Malvern, PA 19355-1530

Mailing address

617B Swedesford Rd
Malvern, PA 19355-1530
Phone (610) 251-0821

Other practice location 1

310 N Matlack St
West Chester, PA 19380-2620
Phone (610) 696-4900 ext. 380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171213001856 PA Practitioner - Clinical Social Worker 4587922943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1305 N Tulip Dr
West Chester, PA 19380-1462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128684PAMDMental Health Counselor
CW019584PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Self Expressions Clinical Past Accepting new patients

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003192212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617B SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-251-0821",
            "fax_number": "610-251-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617B SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-251-0821",
            "fax_number": "610-251-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Matlack St",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193802620",
            "country_code": "US",
            "telephone_number": "610-696-4900 x380",
            "fax_number": "610-696-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW128684",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.