Active NPIIndividual provider

Lisa M Connolly, LICSW

Social Worker in Roxbury Crossing, Massachusetts

NPI Number1619009560
Practice location
69 Alleghany St, Roxbury Crossing, MA 02120-3336
Fax
617-983-1658
Last updated
March 23, 2011

Lisa Marie Connolly is a Social Worker based in Roxbury Crossing, MA. Lisa Marie Connolly practices in Roxbury Crossing, MA and has the professional credentials of LICSW. The NPI Number for Lisa Marie Connolly is 1619009560 and holds a License No. 213222 (MA). The current practice location address for Lisa Marie Connolly is 69 Alleghany St, Roxbury Crossing, MA 02120-3336 and can be reached out via phone at 617-524-4620 and via fax at 617-983-1658.

Provider Profile Details

NPI Number
1619009560
Provider Name
Lisa Marie Connolly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
69 Alleghany St, Roxbury Crossing, MA 02120-3336
Phone Number
617-524-4620
Fax Number
617-983-1658
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2007
Last Update Date
March 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Alleghany St
Roxbury Crossing, MA 02120-3336
Zip
02120-3336
Phone Number
617-524-4620
Fax Number
617-983-1658
Roxbury Crossing, MA 02120Get directions →

Provider Business Mailing Address Details

Address
69 Alleghany St
Roxbury Crossing, MA 02120-3336
City
Roxbury Crossing
State
MA
Zip
02120-3336
Phone Number
617-524-4620
Fax Number
617-983-1658

License Information

License Number
213222
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Lisa M Connolly, LICSW?

The NPI number of Lisa M Connolly, LICSW is 1619009560. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa M Connolly, LICSW?

Lisa M Connolly, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 213222.

Where does Lisa M Connolly, LICSW practice?

The practice location is 69 Alleghany St, Roxbury Crossing, MA 02120-3336. The office can be reached at 617-524-4620 (phone) or 617-983-1658 (fax).

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 1619009560 directly on the NPPES registry website.

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