GRACE CONNOLLY LSW CDCA
NPI 1477264620
Social Worker in Willoughby, OH

Q: What is Grace Connolly's NPI number?

The NPI number for Grace Connolly is 1477264620. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Q: What is Grace Connolly's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Connolly was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 December 08, 2022PECOS Enrolled

38882 MENTOR AVE, WILLOUGHBY, OH 44094(440) 578-8200 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 3, 2025, Dec 8, 2022 (2 updates tracked since 2022).

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About Grace Connolly Lsw Cdca NPPES

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

GRACE CONNOLLY LSW CDCA (NPI 1477264620) is an individual social worker in Willoughby, Ohio and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477264620

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameGRACE CONNOLLYCredential: LSW CDCA

Location Address38882 MENTOR AVEWilloughby, OH 44094-7875

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorNo

Enumeration DateDecember 8, 2022

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1477264620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License S.1802996 (OH)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

38882 MENTOR AVE, Willoughby, OH 44094

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Connolly Lsw Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KRYSTI CAMPLESE

Case Manager/Care Coordinator