Active NPIIndividual providerSole proprietor

Amanda Connolly, LICSW

Social Worker, Clinical in Everett, Massachusetts

NPI Number1588032577
Practice location
173 Chelsea St, Everett, MA 02149
Fax
—
Last updated
May 21, 2019

Amanda Connolly is a Social Worker, Clinical based in Everett, MA. Amanda Connolly practices in Everett, MA and has the professional credentials of LICSW. The NPI Number for Amanda Connolly is 1588032577 and holds a License No. 121176. The current practice location address for Amanda Connolly is 173 Chelsea St, Everett, MA 02149 and can be reached out via phone at 781-388-6200.

Provider Profile Details

NPI Number
1588032577
Provider Name
Amanda Connolly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
173 Chelsea St, Everett, MA 02149
Phone Number
781-388-6200
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2015
Last Update Date
May 21, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
173 Chelsea St
Everett, MA 02149
Zip
02149
Phone Number
781-388-6200
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
125 Hartwell Ave
Lexington, MA 02421-3100
City
Lexington
State
MA
Zip
02421-3100
Phone Number
817-861-0899

License Information

License Number
121176
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 Amanda Connolly, LICSW?

The NPI number of Amanda Connolly, LICSW is 1588032577. It was assigned on September 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Amanda Connolly, LICSW?

Amanda Connolly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed under license number 121176.

Where does Amanda Connolly, LICSW practice?

The practice location is 173 Chelsea St, Everett, MA 02149. The office can be reached at 781-388-6200 (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 1588032577 directly on the NPPES registry website.

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