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Active NPI 1891062725 Individual Practitioner Male Practitioner

Ray D Conley , LSW, LCAC

Social Worker • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Ray Conley, LSW, LCAC is a registered healthcare professional specializing in Social Worker in Fort Wayne, IN. Practice services are available at 909 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

909 E State Blvd

Fort Wayne, IN 468053404

Telephone 2604812700
Fax 2604812838
Associated Practice Facility / Clinic
🏢 Park Center Inc Facility NPI 1306897004

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Wayne, IN (2058 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IN 33000992A

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IN 87000955A

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003121104
Jennifer Perry , MS

Counselor - Mental Health

NPI 1003236613

Master of Science

Dr. Michelle Wiese , MD

Psychiatry & Neurology - Psychiatry

NPI 1003348343

Doctor of Medicine (M.D.)

NPI 1003459561

APRNCNM, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tina Saylor , LPN

Licensed Practical Nurse

NPI 1013190578

Licensed Practical Nurse

Julie Winn , BS

Case Manager/Care Coordinator

NPI 1013281245

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2013

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053404 (Tel: 2604812700)

📍
Updated Business Mailing Address February 06, 2013

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053404 (Tel: 2604812700)

👤
Provider Name / Credentials Updated February 06, 2013

Recorded as RAY CONLEY, LSW , LCAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2013

Counselor (License #87000955A in IN)

🟢
Initial NPI Registration & Enumeration November 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891062725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2011
Last Update: February 06, 2013
Sole Proprietor: No

Mailing Address

909 E State Blvd

Fort Wayne, IN 468053404

Phone: 2604812700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.