Individual provider Active NPI

Jalen Christopher Conway

  • Clinical Social Worker
  • Freeland, MI
National Provider Identifier
1730604232
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851120273 Issued in MI
Practice address
8702 Wandering Way
Freeland, MI 48623-9557
Phone
(989) 999-8463
Fax
(989) 266-1440
NPI assigned
Aug 7, 2017
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851120273 MI Primary
Case Manager/Care Coordinator 171M00000X 6803087041 MI
Other Technician 247200000X

Addresses

Primary practice location

8702 Wandering Way
Freeland, MI 48623-9557

Mailing address

PO Box 210
Freeland, MI 48623-0210
Phone (989) 999-8463

Other practice location 1

500 Hancock Street
Saginaw County Mental Health
Saginaw, MI 48602-4224
Phone (989) 797-3400

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

LicenseStateTypeSpecialty
6851120273MIMDClinical Social Worker
6803087041MIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Your Time Behavioral & Mental Health LLC Clinical CurrentSince Oct 21, 2025 Accepting new patients
Bayside Lodge Past Accepting new patients

Organizations & group practices 2

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1730604232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486230210",
            "telephone_number": "989-999-8463",
            "fax_number": "989-266-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 WANDERING WAY",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239557",
            "telephone_number": "989-999-8463",
            "fax_number": "989-266-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hancock Street",
            "address_2": "Saginaw County Mental Health",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024224",
            "country_code": "US",
            "telephone_number": "989-797-3400",
            "fax_number": "989-799-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JALEN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851120273",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6803087041",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.