SJ COMMUNITY COLLECTIVE, LLC
NPI 1225988462
Social Worker - Clinical in Appleton, WI

Active since January 28, 2026
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913(920) 200-5594 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jan 28, 2026 (2 updates tracked since 2026).

About Sj Community Collective, Llc NPPES

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

SJ COMMUNITY COLLECTIVE, LLC (NPI 1225988462) is a healthcare organization registered as a clinical in Appleton, Wisconsin and active in the NPI registry since January 2026. The organization lists Samella Jolly, Principal, as its authorized official.

NPPES Registry Identity

NPI1225988462
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSJ COMMUNITY COLLECTIVE, LLC
Location Address2800 E ENTERPRISE AVE STE 333Appleton, WI 54913-7889
Mailing Address2800 E Enterprise Ave Ste 333Appleton, WI 54913-7889 · (920) 200-5594
Organization SubpartNo
Authorized OfficialSamella JollyPrincipal · (414) 339-5595
Enumeration DateJanuary 28, 2026
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1225988462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

2800 E ENTERPRISE AVE STE 333, Appleton, WI 54913

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

Other Providers at the Same Location NPPES 20

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

Custodial Care Facility (Adult Care Home)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Behavior Analyst
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Family Medicine
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Social Worker (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Counselor (Mental Health)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Psychologist (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913

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 Sj Community Collective, LLC's NPI number?

The NPI number for Sj Community Collective, LLC is 1225988462. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Sj Community Collective, LLC located?

Sj Community Collective, LLC is located at 2800 E Enterprise Ave Ste 333, Appleton, WI 54913. The listed phone number is (920) 200-5594.

What is Sj Community Collective, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sj Community Collective, LLC was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.