Healthcare Provider Details

I. General information

NPI: 1891110631
Provider Name (Legal Business Name): MARGARET LADELL CONLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24A FALCON CIR NW
CARTERSVILLE GA
30121-7362
US

IV. Provider business mailing address

24A FALCON CIR NW APT 316
CARTERSVILLE GA
30121-7362
US

V. Phone/Fax

Practice location:
  • Phone: 678-577-1868
  • Fax:
Mailing address:
  • Phone: 470-464-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006112
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: