MARYDORA CONLEY (NPI# 1649473133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649473133 |
| Entity Type | Individual |
| Full Name | MARYDORA CONLEY |
| Credential | LMFT, LCSW |
| Practice Address |
516 Academy Ridge Pl Louisville KY 40245-3934 |
| Practice Telephone | 5025001553 |
| Mailing Telephone | 5025001553 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1966 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1966 | KY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 105233 | KY | Behavioral Health & Social Service Providers |
| Street Address |
516 ACADEMY RIDGE PL |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797911 | Harvetta K Ray | Social Worker | 1426 S 28th St, Louisville, KY 40211-1729 | 2020-07-14 |
| 1083235360 | Julie Elfers | Social Worker | 700 Front St Ste 208, Louisville, CO 80027-1805 | 2020-04-28 |
| 1699301291 | James Casey Newman | Social Worker | 7121 Black Walnut Cir, Louisville, KY 40229-6402 | 2020-03-16 |
| 1467086744 | Kathryn Fischer | Social Worker | 1009 Rosemary Dr, Louisville, KY 40213-1119 | 2020-02-26 |
| 1497385496 | Katelyn Mensing | Social Worker | 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 | 2020-01-19 |
| 1386280683 | Jayan Thomas Lcsw LLC | Social Worker | 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 | 2019-11-21 |
| 1619511615 | Children's Safe Haven, LLC | Social Worker | 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 | 2019-11-01 |
| 1518500693 | Samantha Catherine Renschler | Social Worker | 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 | 2019-10-22 |
| 1124660287 | Andrea Bland | Social Worker | 4820 Greenvale Cir, Louisville, KY 40272-3181 | 2019-10-10 |
| 1164063665 | Lisa Spencer | Social Worker | 3906 Wewoka Ave, Louisville, KY 40212-2852 | 2019-10-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
Please comment or provide details below to improve the information on MARYDORA CONLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.