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NPI Code Detail

MEDICARE: DAWN CONROY

MEDICARE: DAWN CONROY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05781800NJ

General Provider Information

NPI Number : 1497130785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN CONROY
Provider Business Mailing Address
First Line : 58 FREEMAN ST
Second Line : 75-89 FLEMING AVENUE
City : NEWARK
State : NJ
Zip : 07105-4005
Country : US
Telephone Number : 973-596-4190
Fax Number : 973-639-6583
Provider Business Practice Location Address
First Line : 590 N 7TH ST
Second Line : ATTN :LAMONT SIMMONS
City : NEWARK
State : NJ
Zip : 07107-2522
Country : US
Telephone Number : 973-596-5101
Fax Number : 973-639-5049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 12/30/2025

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Directions to “ DAWN CONROY ” Practice Location

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