Individual provider Active NPI

Betty Richelle Conley, LCSWA

  • Clinical Social Worker
  • Newland, NC
National Provider Identifier
1083452916
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020990 Issued in NC
Practice address
434 Hospital Dr
Newland, NC 28657-8096
Phone
(828) 737-7745
Fax
(828) 737-7601
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 P020990 NC Primary

Addresses

Primary practice location

434 Hospital Dr
Newland, NC 28657-8096

Mailing address

434 Hospital Dr
Newland, NC 28657-8096
Phone (828) 737-7745

Other practice location 1

436 Hospital Dr
Newland, NC 28657-8096
Phone (828) 737-7071

Other practice location 2

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P020990NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Jul 21, 2024 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

434 Hospital Dr
Newland, NC 28657
Phone (828) 737-7071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1083452916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DR",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578096",
            "telephone_number": "828-737-7745",
            "fax_number": "828-737-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DR",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578096",
            "telephone_number": "828-737-7745",
            "fax_number": "828-737-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578096",
            "country_code": "US",
            "telephone_number": "828-737-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Deerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075008",
            "country_code": "US",
            "telephone_number": "828-262-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "BETTY",
        "middle_name": "RICHELLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.