UNITED STATES
                            SECURITIES AND EXCHANGE COMMISSION
                                  Washington, D.C.  20549

                                       SCHEDULE 13D

                         Under the Securities Exchange Act of 1934
                                    (Amendment No. __)*

                                NETSMART TECHNOLOGIES, INC.
                                     (Name of Issuer)

                           Common Stock, par value $.01 per share
                              (Title of Class of Securities)


                                       64114W 30 6
                                      (CUSIP Number)

                                  Asher S. Levitsky P.C.
                             Esanu Katsky Korins & Siger, LLP
                                     605 Third Avenue
                                 New York, New York 10158
                                      (212) 953-6000

                 (Name, Address and Telephone Number of Person Authorized
                          to Receive Notices and Communications)

                                       April 8, 1999
                  (Date of Event which Requires Filing of this Statement)

        If the filing person has previously filed a statement on Schedule 13G to
        report the acquisition which is the subject of this Schedule 13D, and is
        filing  this  schedule  because of Rule  13d-1(b)(3)  or (4),  check the
        following box. [ ]

        Note:  Six copies of this statement, including all exhibits, should be
         filed with the Commission.  See Rule 13d-1(a) for other parties to whom
         copies are to be sent.

        *The  remainder  of this cover page shall be filled out for a  reporting
        person's  initial  filing on this form with respect to the subject class
        of securities,  and for any subsequent amendment containing  information
        which would alter disclosures provided in a prior cover page.

        The  information  required on the remainder of this cover page shall not
        be deemed to be "filed" for the purpose of Section 18 of the  Securities
        Exchange Act of 1934 ("Act") or otherwise  subject to the liabilities of
        that section of the Act but shall be subject to all other  provisions of
        the Act (however, see the Notes).








CUSIP No. 64114W 30 6              SCHEDULE 13D              Page 2 of 5 Pages


 1        NAME OF REPORTING PERSON
          S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

          James L Conway

 2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
                                                                        (a) [ ]
                                                                        (b) [ ]

 3        SEC USE ONLY

 4        SOURCE OF FUNDS

          PF
 5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO
          ITEMS 2(d) OR 2(e)

 6        CITIZENSHIP OR PLACE OF ORGANIZATION

          USA

                     7    SOLE VOTING POWER
NUMBER OF
 SHARES                   120,000
BENEFICIALLY
 OWNED BY            8    SHARED VOTING POWER
 EACH
REPORTING                 23,916
 PERSON
  WITH               9    SOLE DISPOSITIVE POWER
             
                          120,000
                  
                    10    SHARED DISPOSITIVE POWER 
                    
                          23,916            
                
 11       AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          143,916

 12       CHECK BOX IF THE AGGREGATE AMOUNT IN ROW  (11) EXCLUDES CERTAIN
          SHARES [ ]

 13       PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
          5.0%

 14       TYPE OF REPORTING PERSON

          IN





CUSIP No. 64114W 30 6              SCHEDULE 13D              Page 3 of 5 Pages

Item 1. Security and Issuer.

        This  statement  relates to the Common  Stock,  par value $.01 per share
(the "Common Stock"),  of Netsmart  Technologies,  Inc. (the  "Company"),  whose
principal executive offices are located at 146 Nassau Avenue, Islip, NY 11751.

Item 2. Identity and Background.

        (a)    This statement is being filed by James L. Conway.

        (b) Mr.  Conway's  principal  place of business  is: 146 Nassau  Avenue,
Islip, New York 11751.

        (c) Mr.  Conway is the  president  and chief  executive  officer  of the
Company.

        (d)  During  the last five  years Mr.  Conway  has not been a party to a
civil proceeding of a judicial or administrative body of competent  jurisdiction
as a  result  of which he was  subject  to a  judgment,  decree  or final  order
enjoining future violations of, or prohibiting or mandating  activities  subject
to,  federal or state  securities  laws or finding any violation with respect to
such laws.

Item 3. Source and Amount of Funds or Other Consideration.

        The shares were purchased with Mr. Conway's personal funds.

Item 4. Purpose of Transaction.

        Mr. Conway acquired his Common Stock for investment purposes.  Mr.
Conway is the president, chief executive officer  and a director of the Company.

        Mr. Conway may purchase  additional  shares of common stock from time to
time.  Such purchases may include the purchase of shares in the open market,  in
private  transactions  and upon exercise of options which he presently  holds or
which may be issued to him in the future.

Item 5. Interest in Securities of the Issuer.

        (a) (i) Mr.  Conway  beneficially  owns 143,916  shares of common stock,
representing  5.9% of the common stock.  Such shares are comprised of (A) 54,333
shares of common stock owned by Mr.  Conway,  (B) 65,667  shares of common stock
issuable upon exercise of warrants owned by Mr. Conway with an exercise price of
$6.00 as to 23,667 shares and $12.00 as to 42,000 shares,  and (C) 23,916 shares
of common stock  issuable upon exercise of warrants,  with an exercise  price of
$6.00 as to 9,666 shares and $12.00 as to 14,250  shares,  held by Mr.  Conway's
wife, as to which Mr. Conway disclaims beneficial ownership.

               (ii) In addition to the presently exercisable options, Mr. Conway
also holds the following  options  which were granted  pursuant to the Company's
1998 Long-Term Incentive Plan:

                      (A)    An option to purchase 20,000 shares of common stock
at $1.50 per share which becomes exercisable on June 30, 1999.





CUSIP No. 64114W 30 6              SCHEDULE 13D              Page 4 of 5 Pages

                      (B)    An option to purchase 50,000 shares of common stock
at $1.00 per share, which becomes  exercisable  as to 25,000 shares on May 3,
1999 and the remaining 25,000  shares on  November 3, 1999.  Such option is not
deemed to be  presently exercisable  since it is subject to stockholder 
approval of an amendment to the 1998 Long-Term Incentive Plan.

        (b) Mr. Conway has sole power to vote or direct the vote, and sole power
to dispose,  or to direct the disposition of, all of the 54,333 shares of common
stock owned by him. To the extent that Mr. Conway  acquires any shares of common
stock upon  exercise of options or  warrants  held by him, he will have the sole
power to vote or direct the vote,  and sole power to  dispose,  or to direct the
disposition  of, such shares.  Mr.  Conway may be deemed to have shared power to
vote or dispose of the shares of common stock issuable upon exercise of warrants
held by his wife, as to which he disclaims beneficial ownership.

        (c) Mr. Conway  effected the following  transactions  in connection with
the Company's securities since February 7, 1999.

               (i) On February 8, 1999,  Mr. Conway  exercised a stock option to
purchase 20,000 shares of common stock at $1.50 per share.

               (ii) On April 8, 1999,  Mr.  Conway  purchased  26,000  shares of
common  stock at a  purchase  price of $2.015  per  share,  or an  aggregate  of
$52,387,  from SIS Capital Corp. ("SIS Capital") in a private  transaction.  The
shares were purchased pursuant to an agreement dated as of March 25, 1999, among
SIS Capital, Consolidated Technology Group Ltd. ("Consolidated Technology"), the
Company,  the  purchasers,  including Mr. Conway,  and Anthony F.  Grisanti,  as
representative  of the  purchasers.  SIS Capital,  a wholly-owned  subsidiary of
Consolidated Technology, is the Company's largest stockholder.

        (d) No other  person is known to have the right to  receive or the power
to direct the receipt of dividends  from,  or the proceeds from the sale of such
securities.

        (e) Not applicable.

Item 6. Contracts, Arrangements, Understandings or Relationships With Respect
        to Securities of the Issuer.

        None

Item 7. Exhibits.

        None





CUSIP No. 64114W 30 6              SCHEDULE 13D              Page 5 of 5 Pages
                                  SIGNATURE

        After  reasonable  inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated:  April 30, 1999

                                             /s/ James L. Conway
                                             ------------------------ 
                                                James L. Conway