Patricia Wong Connolly

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW131963 Issued in PA

Practice address

30 Anthony Wayne Dr
Wayne, PA 19087-1426

Phone

(610) 909-5050

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1649921438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ANTHONY WAYNE DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871426",
            "telephone_number": "610-909-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ANTHONY WAYNE DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871426",
            "telephone_number": "610-909-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Valley Rd Ste 703",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190871849",
            "country_code": "US",
            "telephone_number": "610-909-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "PATRICIA",
        "middle_name": "WONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Combos, PTA
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• Erin Connolly
• Kara Lynn Constantine, PHD, NCSP
• Rosemary Ann Corcoran, OTR/L
• Paulo Mendes Correa-Meyer, MD
• Jonathan R Corsini, MD
• Sheri Hyder Couch

• Social Worker in Wayne, PA
• Providers in Wayne, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.