Organization Active NPI

Patricia M Conolly LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1770977746
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078837 Issued in NY
Legal business name
PATRICIA M CONOLLY LCSW PLLC
Practice address
919 Winton Rd S
Suite 217
Rochester, NY 14618-1633
Phone
(585) 576-6093
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Patricia M Conolly, LCSW-R
Title
Sole Member
Phone
(585) 576-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 078837 NY Primary

Addresses

Primary practice location

919 Winton Rd S
Suite 217
Rochester, NY 14618-1633

Mailing address

919 Winton Rd S
Suite 217
Rochester, NY 14618-1633
Phone (585) 576-6093

National Provider Directory

National Provider Directory

Locations

919 Winton Rd S
Ste 217
Rochester, NY 14618
Phone (585) 319-0698

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1770977746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S",
            "address_2": "SUITE 217",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633",
            "telephone_number": "585-576-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S",
            "address_2": "SUITE 217",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633",
            "telephone_number": "585-576-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M CONOLLY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "CONOLLY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "585-576-6093",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.