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JENNIFER C CONNOLLY LCSW
NPI 1073862017
Social Worker - Clinical in Winston-salem, NC

Active since September 06, 2012PECOS EnrolledAccepts Medicare Assignment
725 N. HIGHLAND AVE, 2ND FLOOR, WINSTON-SALEM, NC 27101(336) 607-8501(336) 725-4030 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer C Connolly Lcsw NPPES

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

JENNIFER C CONNOLLY LCSW (NPI 1073862017) is an individual clinical provider in Winston-salem, North Carolina, licensed in North Carolina (C008749) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073862017
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER C CONNOLLYCredential: LCSW
Location Address725 N. HIGHLAND AVE, 2ND FLOORWinston-salem, NC 27101-4206
Mailing Address3210 Fairhill DrRaleigh, NC 27612-3215 · (919) 256-0824 · Fax (919) 256-0833
Phone(336) 607-8501
Fax(336) 725-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1073862017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C008749
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.
Also ListedCounselorTaxonomy 101Y00000X · License P006709 (NC)
725 N. HIGHLAND AVE, Winston-salem, NC 27101
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11901 Adams Farm PkwyGreensboro, NC 27407-6338 · Phone (336) 722-7266 · Fax (336) 722-7266
Location 2104 Cambridge Plaza DrWinston Salem, NC 27104-3556 · Phone (336) 722-7266 · Fax (336) 201-0538
Location 31615 Polo RdWinston Salem, NC 27106-3831 · Phone (336) 722-7266 · Fax (336) 201-0538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer C Connolly Lcsw 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 ID345463980
PECOS Enrollment IDI20140620001672
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mood Treatment Center, PLLC
4.2 mi
Psychiatry
1615 POLO RD
Winston Salem, NC 27106
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1285867952 (336) 722-7266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

MICHAEL S FORREST LCSW
Social Worker (Clinical)
725 N. HIGHLAND AVE, 2ND FLOOR
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8501

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 Jennifer Connolly's NPI number?

The NPI number for Jennifer Connolly is 1073862017. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Jennifer Connolly located?

Jennifer Connolly practices at 725 N. Highland Ave 2nd Floor, Winston-Salem, NC 27101. The listed phone number is (336) 607-8501.

What is Jennifer Connolly's specialty?

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

Is Jennifer Connolly enrolled in Medicare?

Yes. Jennifer Connolly 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.

Which organization bills Medicare for Jennifer Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Connolly reassigns Medicare benefits to Mood Treatment Center, PLLC (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Connolly accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jennifer Connolly 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 Jennifer Connolly was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.