SJ Community Collective, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SJ COMMUNITY COLLECTIVE, LLC

Practice address

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Phone

(920) 200-5594

NPI assigned

Jan 28, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samella Jolly, LCSWNPI 1821669037

Title

Principal

Phone

(414) 339-5595

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samella Jolly, LCSW

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1821669037
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1225988462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "920-200-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "920-200-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ COMMUNITY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "SAMELLA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "414-339-5595",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gagandeep Singh
• Sindhu Singh, MD
• Lauren Kathleen Singstock
• Hanna Rose Sippel, PA
• Lori A Sitek, PT
• Nelida N Sjak-Shie, PHD MD
• Willow Renee Skar, PTA
• Katie L Skebba, LCSW
• Tyler B Skibba, D.C., C.C.E.P.
• Michele Danette Skoglund, RN

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.