NPIMap

Individual provider Active NPI

April Gately Connolly, LICSW

  • Clinical Social Worker
  • Braintree, MA
National Provider Identifier
1649550484
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116443 Issued in MA
Practice address
197 Quincy Ave
Suite 111
Braintree, MA 02184-2341
Phone
(781) 535-4910
Fax
(781) 356-0894
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116443 MA Primary

Addresses

Primary practice location

197 Quincy Ave
Suite 111
Braintree, MA 02184-2341

Mailing address

197 Quincy Ave
Suite 111
Braintree, MA 02184-2341
Phone (781) 535-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116443MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gately Wellness and Counseling LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1649550484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 QUINCY AVE",
            "address_2": "SUITE 111",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842341",
            "telephone_number": "781-535-4910",
            "fax_number": "781-356-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 QUINCY AVE",
            "address_2": "SUITE 111",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842341",
            "telephone_number": "781-535-4910",
            "fax_number": "781-356-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "APRIL",
        "middle_name": "GATELY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.