Jennifer C Connolly, LCSW is a
Social Worker - Clinical based in Winston-salem, North Carolina. Jennifer C Connolly is licensed to practice in North Carolina (license number C008749) and her current practice location is
725 N. Highland Ave, 2nd Floor, Winston-salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 607-8501.
NPI number for Jennifer C Connolly is 1073862017 and her current mailing address is 3210 Fairhill Dr, Raleigh, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073862017.
Healthcare Provider's Profile
| Full Name | Jennifer C Connolly |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 725 N. Highland Ave, Winston-salem, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073862017
- Provider Enumeration Date: 09/06/2012
- Last Update Date: 06/16/2026
Medical Identifiers
Medical identifiers for Jennifer C Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073862017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | P006709 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C008749 (North Carolina) | 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. Jennifer C 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 |
Jennifer C Connolly, LCSW 3210 Fairhill Dr, Raleigh, NC 27612-3215 Ph: (919) 256-0824 | Jennifer C Connolly, LCSW 725 N. Highland Ave, 2nd Floor, Winston-salem, NC 27101-4206 Ph: (336) 607-8501 |
Reviews and Comments