Grace Connolly, LSW CDCA is a
Social Worker based in Willoughby, Ohio. Grace Connolly is licensed to practice in * (Not Available) (license number ) and her current practice location is
38882 Mentor Ave, Willoughby, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 578-8200.
NPI number for Grace Connolly is 1477264620 and her current mailing address is 7232 Justin Way, Mentor, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477264620.
Healthcare Provider's Profile
| Full Name | Grace Connolly |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 38882 Mentor Ave, Willoughby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477264620
- Provider Enumeration Date: 12/08/2022
- Last Update Date: 03/03/2025
Medical Identifiers
Medical identifiers for Grace Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477264620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | S.1802996 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Connolly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grace Connolly, LSW CDCA
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 | Grace Connolly, LSW CDCA
38882 Mentor Ave,
Willoughby, OH 44094-7875
Ph: (440) 578-8200 |
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