MICHAEL CALERESO CONRAD NPI 1184114969

NPI Information

  • NPI: 1184114969
  • Provider Name: MICHAEL CALERESO CONRAD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 UNION ST
    LAWRENCE, MA
    ZIP 01840
  • Phone: (978) 682-7289

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NPI Details

Michael Calereso Conrad is a mental health counselor in Lawrence, MA with 4 years of experience. Michael Calereso Conrad NPI is 1184114969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 UNION ST
LAWRENCE, MA
ZIP 01840-866
Phone: (978) 682-7289

The NPI 1184114969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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