Active NPIIndividual providerSole proprietor

Mrs. Bethany L Connolly, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1750448577
Practice location
81 Plantation St, Worcester, MA 01604-3069
Fax
508-363-0562
Last updated
August 28, 2014

Bethany Laura Connolly is a Social Worker, Clinical based in Worcester, MA. Bethany Laura Connolly practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Bethany Laura Connolly is 1750448577 and holds a License No. 114558 (MA). The current practice location address for Bethany Laura Connolly is 81 Plantation St, Worcester, MA 01604-3069 and can be reached out via phone at 508-890-6519 and via fax at 508-363-0562.

Provider Profile Details

NPI Number
1750448577
Provider Name
Bethany Laura Connolly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
81 Plantation St, Worcester, MA 01604-3069
Phone Number
508-890-6519
Fax Number
508-363-0562
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2007
Last Update Date
August 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Plantation St
Worcester, MA 01604-3069
Zip
01604-3069
Phone Number
508-890-6519
Fax Number
508-363-0562
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
39 Oneil St
Hudson, MA 01749-1618
City
Hudson
State
MA
Zip
01749-1618
Phone Number
508-612-3470
Fax Number
508-363-0562

License Information

License Number
114558
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 Mrs. Bethany L Connolly, LICSW?

The NPI number of Mrs. Bethany L Connolly, LICSW is 1750448577. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Bethany L Connolly, LICSW?

Mrs. Bethany L Connolly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114558.

Where does Mrs. Bethany L Connolly, LICSW practice?

The practice location is 81 Plantation St, Worcester, MA 01604-3069. The office can be reached at 508-890-6519 (phone) or 508-363-0562 (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 1750448577 directly on the NPPES registry website.

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