Active NPI
Geralyn Marie Conway, LCSW
- Social Worker
- Wytheville, VA
National Provider Identifier
1144456161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904007099
- Practice address
- Wytheville Cboc
100 Peppers Ferry Rd
Wytheville, VA 24243-3121 - Phone
- (540) 674-1377
- Fax
- (540) 674-1351
- NPI assigned
- Jun 4, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904007099 | VA | Primary |
Addresses
Primary practice location
Wytheville Cboc
100 Peppers Ferry Rd
Wytheville, VA 24243-3121
Mailing address
165 Peppers Ferry Rd
Wytheville Cboc
Wytheville, VA 24382
Phone (276) 223-5449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144456161 | Medicaid | VA |
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 |
|---|---|---|---|
| 0904007099 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1144456161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 PEPPERS FERRY RD",
"address_2": "WYTHEVILLE CBOC",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-223-5449",
"fax_number": "276-223-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WYTHEVILLE CBOC",
"address_2": "100 PEPPERS FERRY RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "242433121",
"telephone_number": "540-674-1377",
"fax_number": "540-674-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "GERALYN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904007099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144456161",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
- Commonwealth of Virginia State Board of Health
- Community Alternatives Virginia, Inc.
- Community Health Care Supplies, Inc.
- Community Sleep & Diagnostic Lab, Inc.
- Kara L Conley, FNP-C
- Richard Garland Copenhaver, DDS
- Savanna Shea Cornett, LCSW
- Counseling Associates of Wytheville, LLC
- Counts Drug Company Inc
- County of Wythe Board of Supervisors
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.