Mary Theresa Konopinski, MSSA, LSW, LCDC-III

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1451383 Issued in OH

Practice address

2675 E 30TH St
Cleveland, OH 44115-3000

Phone

(216) 777-8139

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1275901423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 E 75TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441053844",
            "telephone_number": "440-789-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E 30TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153000",
            "telephone_number": "216-777-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPINSKI",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "MSSA, LSW, LCDC-III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151028",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1451383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ann Konieczny, PA-C
• Frank Konieczny, MSW, LISW
• Marissa Koning
• Barbara Konku
• Konnected
• Michael W Konstan, MD
• James A Kontak, M.D.
• Kristen Kontos, CNP
• Peter Gus Kontos, DO
• Kontoveros Klobas Clark LLC

• Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.