Active NPI
Betty Richelle Conley, LCSWA
- Clinical Social Worker
- Newland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020990
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P020990 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Emergency Providers | Current | 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.
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
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
- Ashley Nicole Chapman, PHARMD
- Clark Family Medicine PA
- Robert Dale Clark, M.D.
- Shayna Vance Cole, PHARMD
- Compassionate Hearts Home Care Agency,Inc
- Ian Y.O. Cornwell, LCSW, LCAS
- County of Avery (Avery County EMS)
- County of Avery
- Ceara Leigh Cuthbertson, MSW, LCSW
- Day Watson Physical Therapy and Associates LLC
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.