Active NPI
Jill Conway, LCSW
- Social Worker
- Rye, NY
National Provider Identifier
1811147374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 081172
- Practice address
- 16 School St
Suite Lower Level
Rye, NY 10580-2952 - Phone
- (914) 714-1969
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 081172 | NY | Primary |
Addresses
Primary practice location
16 School St
Suite Lower Level
Rye, NY 10580-2952
Mailing address
16 School St
Suite Lower Level
Rye, NY 10580-2952
Phone (914) 714-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 15, 2020 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081172 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1811147374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SCHOOL ST",
"address_2": "SUITE LOWER LEVEL",
"city": "RYE",
"state": "NY",
"postal_code": "105802952",
"telephone_number": "914-714-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SCHOOL ST",
"address_2": "SUITE LOWER LEVEL",
"city": "RYE",
"state": "NY",
"postal_code": "105802952",
"telephone_number": "914-714-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "JILL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.