Ilene Conway
Individual provider Active NPI Social Worker · Topsfield, MA
NPI 1669956611 · NPPES record last updated Sep 15, 2018
Key facts
- NPI
- 1669956611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 120136-SW-LICSW (MA)
- Practice address
- 17 Alderbrook Dr
Topsfield, MA 01983-2301 - Phone
- (781) 334-5743
- NPI assigned
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120136-SW-LICSW | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 120136-SW-LICSW | MA | Yes |
Addresses
Primary practice location
17 Alderbrook Dr
Topsfield, MA 01983-2301
Mailing address
17 Alderbrook Dr
Topsfield, MA 01983-2301
Phone (781) 334-5743
Other providers in Topsfield, MA
- Jennifer Lee Cann
- Gregory D. Carroll
- Thomas R Carroll
- Lyza Grace Chin
- James Richard Collins
- Daisy Medical Inc
- Kimberly L Daly
- David W. Phoenix, DMD PC
- Heather H. Denton
- Lisa Monique Draper-Small
All providers in Topsfield, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.