MS. JESSICA SLAVIN CONNELLY (NPI# 1164744280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164744280 |
| Entity Type | Individual |
| Full Name | MS. JESSICA SLAVIN CONNELLY |
| Other Name | MRS. JESSICA IRENE SLAVIN |
| Credential | LICSW |
| Practice Address |
17 Corey Rd Malden MA 02148-1116 |
| Practice Telephone | 6175128085 |
| Mailing Telephone | 6175128085 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
115727 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2464 Massachusetts Ave Ste 313, Cambridge, MA 021401648 | 6175128085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447740550 | Jessica M Connelly | Speech-Language Pathologist | 159 W 127th St, New York, NY 10027-3723 | 2018-05-14 |
| 1043635808 | Jessica Connelly | Physical Therapist | 171 Madison Ave, Suite 1600, New York, NY 10016-5110 | 2014-03-03 |
| Street Address |
17 COREY RD |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255222 | Jennifer Shiiba | Social Worker | 60 Orient St, Malden, MA 02148-2714 | 2020-08-13 |
| 1033692785 | Amannda Depaolo | Social Worker | 29 Wescott St, Malden, MA 02148-4611 | 2018-09-10 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1598247124 | Karen Ann Wheelock | Social Worker | 45 Loomis St Apt 306, Malden, MA 02148-2010 | 2018-08-30 |
| 1972081792 | Kelly Ryle Farrell | Social Worker | 178 Savin St Ste 300, Malden, MA 02148-2329 | 2018-08-02 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1356888770 | Osob Issa | Social Worker | 529 Pleasant St Apt B, Malden, MA 02148-3524 | 2017-01-24 |
| 1104163203 | Mingyang Zheng | Social Worker | 92 Clifton St, Malden, MA 02148-2622 | 2013-01-09 |
| 1821382607 | Kristin Maria Weekley | Social Worker | 5 Greystone Rd, Malden, MA 02148-1208 | 2011-06-08 |
| 1982933230 | Michelle Terry-david | Social Worker | 300 Commercial St., #19 Mystic Valley Elder Services, Malden, MA 02148 | 2009-12-16 |
| Find all providers in MALDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.