Active NPI
Deborah Winsor Conley, LICSW
- Clinical Social Worker
- Waltham, MA
National Provider Identifier
1871073221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1020674
- Practice address
- 1430 Main St
Waltham, MA 02451-1623 - Phone
- (781) 647-5327
- NPI assigned
- Aug 15, 2018
- 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 | 1020674 | MA | Primary |
Addresses
Primary practice location
1430 Main St
Waltham, MA 02451-1623
Mailing address
474 Old Bedford Rd
Concord, MA 01742-2700
Phone (978) 505-3003
Other practice location 1
474 Old Bedford Rd
Concord, MA 01742-2700
Phone (978) 505-3003
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 |
|---|---|---|---|
| 1020674 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1871073221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 OLD BEDFORD RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422700",
"telephone_number": "978-505-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623",
"telephone_number": "781-647-5327"
}
],
"practiceLocations": [
{
"address_1": "474 Old Bedford Rd",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422700",
"country_code": "US",
"telephone_number": "978-505-3003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY",
"first_name": "DEBORAH",
"middle_name": "WINSOR",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1020674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
- Compassion Counts Senior Care, LLC
- Compassionate Healthcare Services Inc.
- Comprehensive Psychiatric Resources
- Comprehensive Psychiatric Resources, Inc
- Dhayanara Dhelsayrys Concepcion Guzman
- Lindsay Conley, MA
- Rebecca F Connor, M.D.
- Caitlin Elaine Conroy, PSYD
- Convergence Support Initiative Inc.
- Katherine Conway, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.