Individual provider Active NPI

Madeline Weisberg Conway, MSS LCSW

  • Social Worker
  • Stamford, CT
National Provider Identifier
1962697714
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1944 Issued in CT
Practice address
91 Strawberry Hill Avenue
Suite 140
Stamford, CT 06902-2745
Phone
(203) 323-7041
Fax
(914) 761-3372
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1944 CT Primary

Addresses

Primary practice location

91 Strawberry Hill Avenue
Suite 140
Stamford, CT 06902-2745

Mailing address

91 Strawberry Hill Avenue
Suite 140
Stamford, CT 06902-2745
Phone (203) 323-7041

Other identifiers 1

IdentifierTypeStateIssuer
140001944CT01OtherANTHEM BLUE CROSS BLUE SH

Other names 1

  • Mrs. Madge Weisberg Professional name

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
001944CTMDProfessional Counselor
1944CTMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1962697714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVENUE",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022745",
            "telephone_number": "203-323-7041",
            "fax_number": "914-761-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVENUE",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022745",
            "telephone_number": "203-323-7041",
            "fax_number": "914-761-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MADELINE",
        "middle_name": "WEISBERG",
        "name_prefix": "Mrs.",
        "credential": "MSS LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "140001944CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADGE",
            "last_name": "WEISBERG",
            "prefix": "MRS.",
            "credential": "MSS LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.