Innovative Social Solutions LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNOVATIVE SOCIAL SOLUTIONS LLC

Practice address

92 Commonwealth Ave
Dedham, MA 02026-1425

Phone

(617) 971-8332

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Hannah Conley, MA, MSSA, DBH, LICSWNPI 1740674134

Title

Chief Clinical Officer

Phone

(440) 991-6623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Marie Mecaskey Conley, MA

  • Social Worker
  • Dedham, MA
  • NPI 1740674134
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1982386447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 COMMONWEALTH AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261425",
            "telephone_number": "617-971-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 COMMONWEALTH AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261425",
            "telephone_number": "617-971-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SOCIAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "440-991-6623",
        "authorized_official_credential": "MA, MSSA, DBH, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Iguchi, PHD
• Nicole Marie Ikeda, PA-C
• Elias Ilyas
• Maria Impoinvil
• Sarah Elizabeth Ingham, M.D.
• Insight Credentialing and Billing
• Andrea Yvette Irby, HN
• Shaleah Israel
• Jared Ivankovic-Macgibbon
• Jennifer Nicole Jackson, MA, CCC-SLP

• Adult Mental Health Clinic/Center in Dedham, MA
• Providers in Dedham, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.