Active NPIIndividual providerSole proprietor

Mr. Patrick R Connelly, LCSW

Counselor, Mental Health in Egg Harbor Township, New Jersey

NPI Number1417016908
Practice location
3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708
Fax
—
Last updated
February 14, 2017

Patrick R Connelly is a Counselor, Mental Health based in Egg Harbor Township, NJ. Patrick R Connelly practices in Egg Harbor Township, NJ and has the professional credentials of LCSW. The NPI Number for Patrick R Connelly is 1417016908 and holds a License No. 44SC05182000 (NJ). The current practice location address for Patrick R Connelly is 3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708 and can be reached out via phone at 609-780-3570.

Provider Profile Details

NPI Number
1417016908
Provider Name
Patrick R Connelly
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708
Phone Number
609-780-3570
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 8, 2006
Last Update Date
February 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
3069 English Creek Ave
Suite 224
Egg Harbor Township, NJ 08234-9708
Zip
08234-9708
Phone Number
609-780-3570
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
3069 English Creek Ave
Suite 224
Egg Harbor Township, NJ 08234-9708
City
Egg Harbor Township
State
NJ
Zip
08234-9708
Phone Number
609-780-3570

License Information

License Number
44SC05182000
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mr. Patrick R Connelly, LCSW?

The NPI number of Mr. Patrick R Connelly, LCSW is 1417016908. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Patrick R Connelly, LCSW?

Mr. Patrick R Connelly, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SC05182000.

Where does Mr. Patrick R Connelly, LCSW practice?

The practice location is 3069 English Creek Ave, Suite 224, Egg Harbor Township, NJ 08234-9708. The office can be reached at 609-780-3570 (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 1417016908 directly on the NPPES registry website.

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