Amy L Conwell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1024520

Practice address

705 Mount Auburn St
Mental Health Department
Watertown, MA 02472-1508

Phone

(888) 766-9818

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083630172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 POSSUM HOLLOW RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602514",
            "telephone_number": "508-651-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MOUNT AUBURN ST",
            "address_2": "MENTAL HEALTH DEPARTMENT",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721508",
            "telephone_number": "888-766-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "1024520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Collins
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• Comfort Dental of Watertown LLC
• Community Rehab Care, Inc
• Katharine Noelle Cooney, BA
• Mary-Ellen Cooper, NP
• Rochelle Cooper, CNS
• Brian Matthew Coppola, PHARMD, R.PH
• Katherine Frances Corey, LBA, BCBA

• Clinical Social Worker in Watertown, MA
• Providers in Watertown, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.