Individual provider Active NPI

Carmen R. Conley, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1053072157
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255301 Issued in KY
Practice address
1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone
(859) 699-0611
NPI assigned
Jan 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 255301 KY Primary

Addresses

Primary practice location

1733 Harrodsburg Rd
Lexington, KY 40504-3617

Mailing address

740 South Limestone Suite K301
Lexington, KY 40536-1959
Phone (859) 323-7236

Other practice location 1

696 Winter Hill Ln
Lexington, KY 40509-1959
Phone (859) 699-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255301KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KW Consulting, LLC CurrentSince Jul 20, 2024 Accepting new patients

Locations

5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189

Organizations & group practices 1

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": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1053072157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SOUTH LIMESTONE SUITE K301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361959",
            "telephone_number": "859-323-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043617",
            "telephone_number": "859-699-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "696 Winter Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091959",
            "country_code": "US",
            "telephone_number": "859-699-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "CARMEN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.