Provider Demographics
NPI:1083452916
Name:CONLEY, BETTY RICHELLE (LCSWA)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:RICHELLE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-8096
Mailing Address - Country:US
Mailing Address - Phone:828-737-7745
Mailing Address - Fax:828-737-7601
Practice Address - Street 1:434 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8096
Practice Address - Country:US
Practice Address - Phone:828-737-7745
Practice Address - Fax:828-737-7601
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0209901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical