Cheryl Jean Conolly, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086109 Issued in NY

Practice address

100 Old Hojack LN
Hilton, NY 14468-1100

Phone

(585) 491-0446

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunflower Psychotherapy, LCSW, PLLC

  • Adult Mental Health Clinic/Center
  • Hilton, NY
  • NPI 1851250674
  NPD Authorized official
• Life Solutions Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1629245758

  NY

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2023.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1396258372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DUNBAR RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689104",
            "telephone_number": "585-540-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD HOJACK LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681100",
            "telephone_number": "585-491-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLLY",
        "first_name": "CHERYL",
        "middle_name": "JEAN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Christopher
• Brynne Elizabeth Clark, RN,BSN
• James L Cobia, M.A.
• Crystal Lyn Coleman, LPN
• Heather Collins, LMT
• Monica Genene Corey-John, PT
• Craig Donnell Crawford
• Kristi Lynn Creahan
• Tatiana Maria Cross, M.S. CCC-SLP
• Tara Lynn Culbertson, LPN

• All providers in Hilton, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.