Jennifer C Connolly, LCSW
Social Worker, Clinical in Winston-Salem, NC. Individual provider (NPI-1).
Details
- NPI
- 1073862017
- Entity type
- Individual (NPI-1)
- Name
- Jennifer C Connolly
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2012
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C008749 | NC | Yes |
| 101Y00000X | Counselor | P006709 | NC |
Practice location
725 N. Highland Ave2nd Floor
Winston-Salem, NC 27101-4206
Phone 336-607-8501 · Fax 336-725-4030
Mailing address
3210 Fairhill DrRaleigh, NC 27612-3215
Phone 919-256-0824 · Fax 919-256-0833
Other practice locations
Winston Salem, NC 27106-3831
Phone 336-722-7266 · Fax 336-201-0538
Winston Salem, NC 27104-3556
Phone 336-722-7266 · Fax 336-201-0538
Greensboro, NC 27407-6338
Phone 336-722-7266 · Fax 336-722-7266
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 413 Clinical Social Worker providers in Winston Salem · All 11,775 providers in Winston Salem
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