JENNIFER C CONNOLLY PLCSW NPI 1073862017

NPI Information

NPI: 1073862017
Provider Name: JENNIFER C CONNOLLY, PLCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
725 N. HIGHLAND AVE
2ND FLOOR
WINSTON-SALEM, NC
ZIP 27101
Phone: (336) 607-8501
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Jennifer C Connolly, PLCSW is a counselor in Winston-salem, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jennifer C Connolly, PLCSW NPI is 1073862017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 N. HIGHLAND AVE
2ND FLOOR
WINSTON-SALEM, NC
ZIP 27101-206
Phone: (336) 607-8501
Fax: (336) 725-4030

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		P006709	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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