JOHN CONNOLLY (NPI# 1801978077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801978077 |
| Entity Type | Individual |
| Full Name | JOHN CONNOLLY |
| Credential | LMSW |
| Practice Address |
1688 Victory Blvd Staten Island NY 10314-3533 |
| Practice Telephone | 7184475700 |
| Practice Fax Number | 7184428945 |
| Mailing Telephone | 7184475700 |
| Mailing Fax Number | 7184428945 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 053435-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194863035 | John O Connolly | Physical Therapist | 1537 E Hill Rd, Suite 400, Grand Blanc, MI 48439-5127 | 2007-02-02 |
| 1760556385 | John M Connolly | Specialist | 907 Sumner St # M201, Stoughton, MA 02072-3374 | 2006-11-17 |
| 1316027386 | John Edward Connolly | Podiatrist | White River Junction Vamc, Desk 90 (112), White River Junction, VT 05009-0001 | 2006-10-16 |
| 1164434361 | John Arthur Connolly Jr. | Physical Therapy Assistant | 10535 Hospital Way # 117, Mather, CA 95655-4200 | 2006-08-13 |
| 1811985781 | John William Connolly | Family Medicine | 4012 20th Ave Sw # Thavesw, Seattle, WA 98106-1218 | 2005-10-13 |
| 1811242852 | John Connolly | Physical Therapist | 475 Main St, Armonk, NY 10504-1840 | 2012-07-16 |
| 1801914361 | John Connolly | Physical Therapist | 700 E Walnut St, Bloomington, IL 61701-3244 | 2007-03-26 |
| 1861525842 | John Patrick Connolly Jr. | Dentist | 19000 Cox Ave, Suite B, Saratoga, CA 95070-4155 | 2007-03-13 |
| 1396813820 | John L Connolly | Dentist | 1600 Washington Ave, Cloquet, MN 55720 | 2006-12-01 |
| 1255400156 | John Thomas Connolly Jr. | Anesthesiology | 3260 Hospital Dr, Juneau, AK 99801 | 2006-11-06 |
| Street Address |
1688 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578645735 | Marina Chernyak | Social Worker | 1688 Victory Blvd, Staten Island, NY 10314-3533 | 2006-10-19 |
| 1508490889 | Shannon Rick | Social Worker | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2020-02-26 |
| 1982188256 | Nia Braithwaite | Student in an Organized Health Care Education/Training Program | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2018-09-21 |
| 1255881918 | Alexa Accardi | Counselor | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2016-10-06 |
| 1770030660 | Vanessa Barulich | Counselor | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2016-09-08 |
| 1194272138 | Amanda Jill Cloninger | Social Worker | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2016-09-07 |
| 1790230282 | Jeffrey Whitney | Counselor | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2016-08-24 |
| 1124403241 | Janice Kowalski | Social Worker | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2015-07-30 |
| 1346626488 | George Vega | Counselor | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2015-07-30 |
| 1790102051 | Bridge Back To Life Center, Inc. | Social Worker | 1688 Victory Blvd, Staten Island, NY 10314-3547 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676036 | Jennifer Primiani | Social Worker | 50 Oceanic Ave, Staten Island, NY 10312-6512 | 2020-10-16 |
| 1457962482 | Jessica Ciccotto | Social Worker | 24 Turf Rd, Staten Island, NY 10314-6015 | 2020-08-13 |
| 1144844499 | Karina Tsareva | Social Worker | 90 Bay Street Lndg Apt 5f, Staten Island, NY 10301-2660 | 2020-06-02 |
| 1720609290 | Samantha Marder | Social Worker | 36 Richmond Ter Ste 205, Staten Island, NY 10301-1934 | 2020-05-06 |
| 1356970784 | Jessica Torres | Social Worker | 42 Gadsen Pl, Staten Island, NY 10314-4806 | 2020-04-07 |
| 1013541457 | Roseana Jolly | Social Worker | 425 Gansevoort Blvd, Staten Island, NY 10314-5260 | 2020-02-25 |
| 1588205835 | Natasha Slater | Social Worker | 2381 Hylan Blvd Ste 13, Staten Island, NY 10306-3145 | 2019-10-07 |
| 1427603992 | Christy Ekpe | Social Worker | 656 Targee St, Staten Island, NY 10304-3411 | 2019-08-01 |
| 1831742378 | Lindsey Celia Mcguinness | Social Worker | 46 Calvanico Ln, Staten Island, NY 10314-4730 | 2019-07-23 |
| 1013476746 | Nicholas J Gonzalez | Social Worker | 234 Cuba Ave Apt 2f, Staten Island, NY 10306-4702 | 2019-03-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on JOHN CONNOLLY.
| 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.