Kerleska Conerly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW03256 Issued in TN

Practice address

3385 Airways Blvd
216
Memphis, TN 38116-3841

Phone

(901) 345-1236

Fax

(901) 345-1735

NPI assigned

Jun 11, 2010

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Columbia University College of Physicians and Surgeons, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Synergy Foundation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Memphis, TN
  • NPI 1063406676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1164743217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD",
            "address_2": "216",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163841",
            "telephone_number": "901-345-1236",
            "fax_number": "901-345-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD",
            "address_2": "216",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163841",
            "telephone_number": "901-345-1236",
            "fax_number": "901-345-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONERLY",
        "first_name": "KERLESKA",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW03256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concentra Laboratory LLC
• Concierge Professional Phlebotomy Service, LLC
• Janet Condle, PTA
• Gregory Josef Condon, MD
• Crystal Conely
• Heather Marie Conklin, PHD
• Chelsea Conlee
• Danielle Conley
• Lakeisha Marie Conley, M.D.
• Lanita M Conley, LCSW

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.