Ms. Jessica S Connelly, LICSW
Social Worker, Clinical in Malden, Massachusetts
1164744280- Practice location
- 17 Corey RD, Malden, MA 02148-1116
- Phone
- 617-512-8085
- Fax
- —
- Last updated
- May 15, 2020
Jessica Slavin Connelly is a Social Worker, Clinical based in Malden, MA. Jessica Slavin Connelly practices in Malden, MA and has the professional credentials of LICSW. The NPI Number for Jessica Slavin Connelly is 1164744280 and holds a License No. 115727 (MA). The current practice location address for Jessica Slavin Connelly is 17 Corey RD, Malden, MA 02148-1116 and can be reached out via phone at 617-512-8085.
Provider Profile Details
- NPI Number
- 1164744280
- Provider Name
- Jessica Slavin Connelly
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17 Corey RD, Malden, MA 02148-1116
- Phone Number
- 617-512-8085
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Mrs. Jessica Irene Slavin, LICSW (Former Name)
- Provider Enumeration Date
- February 16, 2010
- Last Update Date
- May 15, 2020
- Certification Date
- May 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Corey RD
Malden, MA 02148-1116 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-1116
- Phone Number
- 617-512-8085
Provider Business Mailing Address Details
- Address
- 17 Corey RD
Malden, MA 02148-1116 - City
- Malden
- State
- MA
- Zip
- 02148-1116
- Phone Number
- 617-512-8085
License Information
- License Number
- 115727
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Malden, MA
View all Social Worker, Clinical providers in Malden →- Alexandra Dewitt, MASocial Worker, Clinical · NPI 1982726162
- Amanda CoolidgeSocial Worker, Clinical · NPI 1255298030
- Amannda Depaolo, LICSWSocial Worker, Clinical · NPI 1033692785
- Angela Fazio, MSSocial Worker, Clinical · NPI 1295857415
- Ann Beck, LICSWSocial Worker, Clinical · NPI 1639650963
- Annie E Athyal, LCSWSocial Worker, Clinical · NPI 1316154347
Frequently Asked Questions
What is the NPI number of Ms. Jessica S Connelly, LICSW?
The NPI number of Ms. Jessica S Connelly, LICSW is 1164744280. It was assigned on February 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Jessica S Connelly, LICSW?
Ms. Jessica S Connelly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115727.
Where does Ms. Jessica S Connelly, LICSW practice?
The practice location is 17 Corey RD, Malden, MA 02148-1116. The office can be reached at 617-512-8085 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164744280 directly on the NPPES registry website.