Kimberly Marie Conley, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW025314 Issued in PA

Practice address

145 Water St
Conneaut Lake, PA 16316-7279

Phone

(814) 282-9913

NPI assigned

Jul 15, 2022

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Marie Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angelus Therapeutic Services Inc

  • Clinical Social Worker
  • New Castle, PA
  • NPI 1205081254
  NPD
• Your Journey Therapy, LLC

  • Clinical Social Worker
  • Conneaut Lake, PA
  • NPI 1124818919
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1184358095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WATER ST",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163167229",
            "telephone_number": "814-282-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WATER ST",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163167279",
            "telephone_number": "814-282-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW025314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PHILLIPS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin Nicole Bielata, MA, NCC
• Chrissy M Bosley, LCSW QCSW
• Nour Majid Bussard, LPC
• Casey James Chapman, DC
• Conneaut Lake Area Ambulance Service
• Conneaut Lake Chiropractic, PC
• Conneaut Valley Health Center Inc. (Conneaut Lake Health Center)
• Mindy Curtiss, CERT HEALTH COACH
• Ryan Scott Evans, D.O.

• Social Worker in Conneaut Lake, PA
• Providers in Conneaut Lake, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.