Jeffrey Raymond Conway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072772 Issued in NY

Practice address

875 6TH Ave
1603
New York, NY 10001-3507

Phone

(212) 481-2469

Fax

(212) 481-2460

NPI assigned

Jul 3, 2007

Last updated

Dec 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• City Psychotherapy

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1487215364
  NPD (past)
• Intentional Living Psychological Services, PLLC

  dba Intentional Living

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1497154298
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1245437177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 42ND ST",
            "address_2": "35D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366945",
            "telephone_number": "917-499-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 6TH AVE",
            "address_2": "1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013507",
            "telephone_number": "212-481-2469",
            "fax_number": "212-481-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JEFFREY",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Samuel Conway, LMHC
• Catherine Conway
• Edward Conway Jr., MD
• Erin Kathleen Conway, NP
• Helen Thomas Conway
• Jenna Conway
• Kathlyn Conway, CSW
• Lucious Conway
• Rachel Conway, PT, DPT
• Victoria Elizabeth Conway, LMSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.