Stacey Michelle Conway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071494-1 Issued in NY

Practice address

154 Lake Dr
Mahopac, NY 10541-3627

Phone

(914) 922-1042

Fax

(914) 922-1153

NPI assigned

Mar 9, 2006

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1871561407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LAKE DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413627",
            "telephone_number": "845-494-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LAKE DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413627",
            "telephone_number": "914-922-1042",
            "fax_number": "914-922-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Lynne Coleman, MD
• Louis Benjamin Colletti, D.D.S.
• Kristine Collins
• Natalie Eva Conciatori
• Karen A Conti, PT
• Eric David Cook, D.D.S.
• Julia Cook
• Diana Teixeira Correia
• Toni Ann Coyne
• Carolyn Creary

• Clinical Social Worker in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.