Jennifer Connolly, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

065163-1 Issued in NY

Practice address

214 Glenmore St
East Williston, NY 11596-1410

Phone

(516) 567-7609

NPI assigned

Apr 9, 2016

Last updated

Apr 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1336503937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GLENMORE ST",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115961410",
            "telephone_number": "516-567-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 GLENMORE ST",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115961410",
            "telephone_number": "516-567-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "065163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D Adams, M.S. CCC-SLP
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• Kim Ann Barrett, LMSW
• Michael Thomas Bonacuso, ATC
• Brian Goldman Licensed Behavioral Analysis PLLC
• Christine Conte, OT
• Christina Martha Delgais, MA, OTR/L
• Katherine Garvey, ED.M
• Sarah Goodman, OTR/L
• Victoria Joy Hagemann, LCSWR

• Social Worker in East Williston, NY
• Providers in East Williston, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.