Provider Demographics
NPI:1205073475
Name:CONROY, THOMAS PATRICK (LCSW,BCD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:PATRICK
Last Name:CONROY
Suffix:
Gender:M
Credentials:LCSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 GLENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1923
Mailing Address - Country:US
Mailing Address - Phone:412-793-3329
Mailing Address - Fax:
Practice Address - Street 1:2500 BALDWICK RD
Practice Address - Street 2:VET CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4140
Practice Address - Country:US
Practice Address - Phone:412-920-1765
Practice Address - Fax:412-920-1769
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO123221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical