Active NPI
Kelsey Conroy, LCSW
- Clinical Social Worker
- West Newton, MA
National Provider Identifier
1710693114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 228696
- Practice address
- 250 Waltham St
West Newton, MA 02465-1749 - Phone
- (781) 733-2212
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 228696 | MA | Primary |
Addresses
Primary practice location
250 Waltham St
West Newton, MA 02465-1749
Mailing address
250 Waltham St
West Newton, MA 02465-1749
Phone (781) 733-2212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228696 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1710693114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WALTHAM ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651749",
"telephone_number": "781-733-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WALTHAM ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651749",
"telephone_number": "781-733-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "KELSEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "228696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.