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SUSAN L CONNELLY CSW
NPI 1043311442
Social Worker - Clinical in Johnson City, NY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
346 GRAND AVE, 167 OAKDALE RD., JOHNSON CITY, NY 13790(607) 770-0025(607) 729-3982 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan L Connelly Csw NPPES

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

SUSAN L CONNELLY CSW (NPI 1043311442) is an individual clinical provider in Johnson City, New York, licensed in New York (R043911) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1043311442
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN L CONNELLYCredential: CSW
Location Address346 GRAND AVE, 167 OAKDALE RD.Johnson City, NY 13790-2580
Mailing Address346 Grand Ave, 167 Oakdale Rd.Johnson City, NY 13790-2580 · (607) 770-0025 · Fax (607) 729-3982
Phone(607) 770-0025
Fax(607) 729-3982
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 8, 2016
✔ NPI 1043311442 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 NY · R043911
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.
346 GRAND AVE, Johnson City, NY 13790
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Other Identifiers 2

Medicare UPINP15678NY
Medicare ID-Type UnspecifiedCC7489NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan L Connelly Csw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395807952
PECOS Enrollment IDI20081217000154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. NISAR A. ALVI M.D.
Hospitalist
346 GRAND AVE
JOHNSON CITY, NY 13790
Broome County (607) 729-8156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Connelly's NPI number?

The NPI number for Susan Connelly is 1043311442. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Susan Connelly located?

Susan Connelly practices at 346 Grand Ave 167 Oakdale Rd., Johnson City, NY 13790. The listed phone number is (607) 770-0025.

What is Susan Connelly's specialty?

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

Is Susan Connelly enrolled in Medicare?

Yes. Susan Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Connelly accept?

Health plans from Providence Health Plan list Susan Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Connelly was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.