Constance McConnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8763 Issued in WI

Practice address

1955 Broadway
104
Monona, WI 53713

Phone

(217) 638-8892

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1891305504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FLINT ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902901",
            "telephone_number": "217-638-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 BROADWAY",
            "address_2": "104",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "217-638-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CONSTANCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017734",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "constancem@generationstherapy.org",
            "affiliation": "N",
            "address_1": "1955 Broadway",
            "address_2": "104",
            "city": "Monona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Boris Matthews, PH.D.
• Gregory John Matysik, LPC, CSAC, PHD
• William R. McAuliffe-Schroeder, LCSW, SAC
• Jane McCauley I, LCSW
• Brett McClone
• Michael Healy McDonald, M.D.
• Brittany Nicole McGonagle
• Kimberly A McGriff, DC
• McGuire Chiropractic LLC
• Joseph P McMahon, MD

• Clinical Social Worker in Monona, WI
• Providers in Monona, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.