Provider Demographics
NPI:1073318309
Name:CONROY, MICHAEL AARON (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:AARON
Last Name:CONROY
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 MARTHA ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-4230
Mailing Address - Country:US
Mailing Address - Phone:919-619-7929
Mailing Address - Fax:
Practice Address - Street 1:606 MARTHA ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-4230
Practice Address - Country:US
Practice Address - Phone:984-219-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC016890103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling