Individual provider Active NPI

Teresa Obrien-Conley, LCSW CADC

  • Clinical Social Worker
  • Grethel, KY
National Provider Identifier
1376542746
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1763 Issued in KY
Practice address
7629 Ky Route 979
Grethel, KY 41631-6304
Phone
(606) 587-2200
Fax
(606) 587-2203
NPI assigned
Jul 19, 2005
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0521 KY
Clinical Social Worker 1041C0700X 1763 KY Primary

Addresses

Primary practice location

7629 Ky Route 979
Grethel, KY 41631-6304

Mailing address

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 1

50 Weddington Branch Rd Ste B
Pikeville, KY 41501-3296
Phone (606) 637-6377

Other practice location 2

178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135

Other practice location 3

246 Ky Route 979
Harold, KY 41635-9046
Phone (606) 478-2200

Other practice location 4

450 S Mayo Trl
Paintsville, KY 41240-1220
Phone (606) 887-6145

Other practice location 5

136 Park Rd
Freeburn, KY 41528-8718
Phone (606) 984-5484

Other practice location 6

23 Willow Dr
Auxier, KY 41602-9259
Phone (606) 886-8997

Other identifiers 1

IdentifierTypeStateIssuer
82000795MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160721001968 KY Practitioner - Clinical Social Worker 6608169164 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0521KYMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc CurrentSince Jun 20, 2016 Accepting new patients
Big Sandy Health Care Inc CurrentSince Jun 20, 2016 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Jan 24, 2026 Accepting new patients
Big Sandy Health Care Inc CurrentSince May 25, 2022 Accepting new patients
Hope Counseling LLC Clinical Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

136 Park Rd
Freeburn, KY 41528
Phone (606) 984-5484

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

246 Ky Route 979
Harold, KY 41635
Phone (606) 478-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

450 S Mayo Trl
Paintsville, KY 41240
Phone (606) 887-6145

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1376542746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 KY ROUTE 979",
            "city": "GRETHEL",
            "state": "KY",
            "postal_code": "416316304",
            "telephone_number": "606-587-2200",
            "fax_number": "606-587-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Weddington Branch Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013296",
            "country_code": "US",
            "telephone_number": "606-637-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Douglas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016970",
            "country_code": "US",
            "telephone_number": "606-639-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Harold",
            "state": "KY",
            "postal_code": "416359046",
            "country_code": "US",
            "telephone_number": "606-478-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401220",
            "country_code": "US",
            "telephone_number": "606-887-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Freeburn",
            "state": "KY",
            "postal_code": "415288718",
            "country_code": "US",
            "telephone_number": "606-984-5484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Auxier",
            "state": "KY",
            "postal_code": "416029259",
            "country_code": "US",
            "telephone_number": "606-886-8997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBRIEN-CONLEY",
        "first_name": "TERESA",
        "credential": "LCSW  CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grethel, KY

Sources for this page

Verify at the official NPI Registry.