Emma Grace Conley, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

552 Cornatzer Rd
Mocksville, NC 27028-7129

Phone

(336) 940-5097

Fax

(336) 940-5647

NPI assigned

Jul 22, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435
  NPD
• Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Yadkinville, NC
  • NPI 1790249969
  NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mocksville, NC
  • NPI 1699346965
  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1619705738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-730-7003",
            "fax_number": "704-865-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 CORNATZER RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270287129",
            "telephone_number": "336-940-5097",
            "fax_number": "336-940-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "EMMA",
        "middle_name": "GRACE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Grace Strange Chapman, MA, SSP, NCSP
• David A Chester, PA-C
• Anna Seaford Coe
• Emily Draughn Collette, FNP
• Christopher John Comfort, PA-C
• Katharine Cornatzer, FNP
• Tona F Cornatzer, PA-C
• Corvin Chiropractic, PC
• Cecil Todd Corvin, D.C
• County of Davie

• All providers in Mocksville, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.