Provider Demographics
NPI:1750324422
Name:CONWAY, MARGARET MARY (LISW, LCDC II)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:CONWAY
Suffix:
Gender:F
Credentials:LISW, LCDC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:STE 410
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-464-3666
Mailing Address - Fax:216-464-3951
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:STE 410
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-464-3666
Practice Address - Fax:216-464-3951
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 09003011041C0700X, 101YM0800X, 103K00000X, 106H00000X
OH091038101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC594OtherNC LICENSE LCAS
NCC002919OtherNC LICENSE LCSW #
NC129RXBCBSOtherPROVIDER NUMBER