Organization Active NPI

Thomas E. Conway, LCSW, P.C.

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1104282110
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026000-1 Issued in NY
Legal business name
THOMAS E. CONWAY, LCSW, P.C.
Practice address
1050 W Jericho Tpke
Smithtown, NY 11787-3242
Phone
(631) 864-2778
Fax
(631) 864-2779
NPI assigned
Jan 6, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Thomas E. Conway, LCSWNPI 1104032929
Title
President
Phone
(631) 864-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R026000-1 NY Primary

Addresses

Primary practice location

1050 W Jericho Tpke
Smithtown, NY 11787-3242

Mailing address

1050 W Jericho Tpke
Smithtown, NY 11787-3242
Phone (631) 864-2778

National Provider Directory

National Provider Directory

Locations

1050 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 864-2778

1050 W Jericho Tpke
Ste B
Smithtown, NY 11787
Phone (631) 864-2778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1104282110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873242",
            "telephone_number": "631-864-2778",
            "fax_number": "631-864-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873242",
            "telephone_number": "631-864-2778",
            "fax_number": "631-864-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. CONWAY, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-864-2778",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026000-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.