Active NPIIndividual provider

Susan K Connolly, LICSW

Social Worker, Clinical in Brewster, Massachusetts

NPI Number1295218428
Practice location
38 Anchors Aweigh RD, Brewster, MA 02631-1435
Fax
—
Last updated
September 13, 2018

Susan Karen Connolly is a Social Worker, Clinical based in Brewster, MA. Susan Karen Connolly practices in Brewster, MA and has the professional credentials of LICSW. The NPI Number for Susan Karen Connolly is 1295218428 and holds a License No. 120682 (MA). The current practice location address for Susan Karen Connolly is 38 Anchors Aweigh RD, Brewster, MA 02631-1435 and can be reached out via phone at 339-440-1553.

Provider Profile Details

NPI Number
1295218428
Provider Name
Susan Karen Connolly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
38 Anchors Aweigh RD, Brewster, MA 02631-1435
Phone Number
339-440-1553
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2018
Last Update Date
September 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Anchors Aweigh RD
Brewster, MA 02631-1435
Zip
02631-1435
Phone Number
339-440-1553
Brewster, MA 02631Get directions →

Provider Business Mailing Address Details

Address
38 Anchors Aweigh RD
Brewster, MA 02631-1435
City
Brewster
State
MA
Zip
02631-1435
Phone Number
339-440-1553

License Information

License Number
120682
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan K Connolly, LICSW?

The NPI number of Susan K Connolly, LICSW is 1295218428. It was assigned on September 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Susan K Connolly, LICSW?

Susan K Connolly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120682.

Where does Susan K Connolly, LICSW practice?

The practice location is 38 Anchors Aweigh RD, Brewster, MA 02631-1435. The office can be reached at 339-440-1553 (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 1295218428 directly on the NPPES registry website.

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