Leslie B Connolly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10877 Issued in ME

Practice address

25 Middle St
5
Portland, ME 04101-4869

Phone

(207) 831-9871

NPI assigned

Jan 31, 2007

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 ME

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, 2002

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.

• Leslie Connolly, P.a.

  • Clinical Social Worker
  • Portland, ME
  • NPI 1699315754

  Clinical, ME

  Medicare reassignment NPD Authorized official
• Art of Awareness, Inc.

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1891833760

  Clinical

  NPD (past)
• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1700923448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HUNTS POINT RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLE ST",
            "address_2": "5",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014869",
            "telephone_number": "207-831-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "LESLIE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274500099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connect Care LLC
• Connected Care Home of Maine LLC
• Rebecca Conners I, LCPC
• Brendan Michael Connolly, MD
• Erin Catherine Connolly, PHARMD
• Megan Connolly, RN
• Nicole P. Connolly, OTR/L
• Patrick Connolly, MD
• Tyler Connolly, LCPC
• Christopher W Connors, M.D.

• All providers in Portland, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.