MISS SAMANTHA ANNE CONNOLLY MSW, LCSWA
NPI 1033841812
Social Worker - Clinical in Charlotte, NC

Q: What is Samantha Connolly's NPI number?

The NPI number for Samantha Connolly is 1033841812. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Samantha Connolly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Connolly was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2022

5970 FAIRVIEW RD STE 126, CHARLOTTE, NC 28210(704) 762-1361 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Samantha Anne Connolly Msw, Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SAMANTHA ANNE CONNOLLY MSW, LCSWA (NPI 1033841812) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C018467) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1033841812

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS SAMANTHA ANNE CONNOLLYCredential: MSW, LCSWA

Location Address5970 FAIRVIEW RD STE 126Charlotte, NC 28210-2100

Mailing Address5970 Fairview Rd Ste 126Charlotte, NC 28210-2100 · (704) 762-1361

Phone(704) 762-1361

Sole ProprietorYes

Enumeration DateJune 29, 2022

Last NPPES UpdateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1033841812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C018467

Definition

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.

5970 FAIRVIEW RD STE 126, Charlotte, NC 28210

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA YAEL JUAREZ

Social Worker (Clinical)