Dalton Killian Connally, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095252 Issued in MI

Practice address

3300 Washtenaw Ave Ste 260
Ann Arbor, MI 48104-5184

Phone

(734) 277-7565

Fax

(734) 215-2363

NPI assigned

Apr 12, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connally Counseling

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1598193310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1669815288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-277-7565",
            "fax_number": "734-215-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-277-7565",
            "fax_number": "734-215-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLY",
        "first_name": "DALTON",
        "middle_name": "KILLIAN",
        "name_prefix": "Dr.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M17010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hari S Conjeevaram, MD
• Renee Michelle Conley, M.A. LLPC
• Amy Conlin, L.M.S.W
• Anna Conlon
• Connally Counseling
• Catherine Connaughton, DO
• Connecting Heals, LLC
• Connecting the Dots Counseling PLLC
• Patrick Sean Connell, M.D., PH.D.
• Rachel B. Conner, PSYD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.