Kellie Bonham Conaway, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0800390 Issued in OH

Practice address

104 1/2 N Marietta St
Saint Clairsville, OH 43950-1255

Phone

(744) 069-5544

NPI assigned

Oct 21, 2012

Last updated

Oct 21, 2012By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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.

• Tri-County Help Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Clairsville, OH
  • NPI 1922158161
  NPD (past)

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1790038289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ROSE LN",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439352207",
            "telephone_number": "304-280-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 1/2 N MARIETTA ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501255",
            "telephone_number": "744-069-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONAWAY",
        "first_name": "KELLIE",
        "middle_name": "BONHAM",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0800390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Albert Clawson
• Cassie Jo Coates
• Lee Coffman
• Diana Laurine Coleman, PA-C
• Community Mental Health Services
• Brittany Conter, RN
• Continuing Healthcare Beacon House, LLC (Continuing Healthcare at Beacon House)
• Jesse Copeland, AS
• Stacie Sue Copeland, R.PH.
• Angie Marie Corbett, QMHS

• Social Worker in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.