Virginia Connelly, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00575100 Issued in NJ

Legal business name

VIRGINIA CONNELLY, LCSW, LLC

Practice address

89 W Ridgewood Ave
Ridgewood, NJ 07450-3142

Phone

(201) 300-6425

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Virginia Mickolajczyk, LCSW

Title

Owner

Phone

(201) 300-6425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Glick, L.C.S.W.

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1588761209
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1730406372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0014 WHITEHALL ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102913",
            "telephone_number": "201-300-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503142",
            "telephone_number": "201-300-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CONNELLY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "MICKOLAJCZYK",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-300-6425",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00575100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Vilas, LCSW
• Village of Ridgewood
• Village Plastic Surgery PC
• Vineyard Home Care LLC
• Vira Wellness LLC
• Mark F Vogel, MD
• Ashley Vogt, M.A.
• Anatoly Volkov, M.D.
• Varad Shirish Vyas, M.D.
• Valerie Mae Walburn, LSW

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.