Provider Demographics
NPI:1457550980
Name:CONRY, MAURA (LCSW, LSCSW)
Entity Type:Individual
Prefix:MS
First Name:MAURA
Middle Name:
Last Name:CONRY
Suffix:
Gender:F
Credentials:LCSW, LSCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BYRNE
Other - Last Name:CONRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LSCSW
Mailing Address - Street 1:7923 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2718
Mailing Address - Country:US
Mailing Address - Phone:913-599-4469
Mailing Address - Fax:913-599-4469
Practice Address - Street 1:7923 HALSEY ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66215-2718
Practice Address - Country:US
Practice Address - Phone:913-599-4469
Practice Address - Fax:913-599-4469
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21141041C0700X
MO20001710941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP23383Medicare UPIN
KS#00650Medicare PIN