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LISA MARIE CONNOLLY LICSW
NPI 1619009560
Social Worker in Roxbury Crossing, MA

Active since March 09, 2007PECOS Enrolled
69 ALLEGHANY ST, ROXBURY CROSSING, MA 02120(617) 524-4620(617) 983-1658 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Marie Connolly Licsw NPPES

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

LISA MARIE CONNOLLY LICSW (NPI 1619009560) is an individual social worker in Roxbury Crossing, Massachusetts, licensed in Massachusetts (213222) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619009560
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLISA MARIE CONNOLLYCredential: LICSW
Location Address69 ALLEGHANY STRoxbury Crossing, MA 02120-3336
Mailing Address69 Alleghany StRoxbury Crossing, MA 02120-3336 · (617) 524-4620 · Fax (617) 983-1658
Phone(617) 524-4620
Fax(617) 983-1658
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateMarch 23, 2011
✔ NPI 1619009560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 213222
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.
69 ALLEGHANY ST, Roxbury Crossing, MA 02120
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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)

Lisa Marie Connolly Licsw 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 14

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

SARA KAHN
Community Health Worker
69 ALLEGHANY ST
BOSTON, MA 02120
Suffolk County (617) 524-4620
CAHRIANNA FOSTER
Case Manager/Care Coordinator
69 ALLEGHANY ST
BOSTON, MA 02120
Suffolk County (617) 524-4620
ELISE ADELE COUNSELL
Social Worker
69 ALLEGHANY ST
ROXBURY CROSSING, MA 02120
Suffolk County (617) 524-4620
MS. AMY L. VENEZIA LICSW
Social Worker (Clinical)
69 ALLEGHANY ST
ROXBURY CROSSING, MA 02120
Suffolk County (617) 524-4620
BEATRICE ANTOINE LCSW
Social Worker (Clinical)
69 ALLEGHANY ST
ROXBURY CROSSING, MA 02120
Suffolk County (857) 276-8959
JOSIE TOMMASINO
Counselor
69 ALLEGHANY ST
BOSTON, MA 02120
Suffolk County (617) 524-4620
CHANDNI SHROFF MS
Social Worker (Clinical)
69 ALLEGHANY ST
ROXBURY CROSSING, MA 02120
Suffolk County (617) 254-0964
COOPER WILLS KOTZAN
Social Worker
69 ALLEGHANY ST
BOSTON, MA 02120
Suffolk County (617) 733-0226

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 Lisa Connolly's NPI number?

The NPI number for Lisa Connolly is 1619009560. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Lisa Connolly located?

Lisa Connolly practices at 69 Alleghany St, Roxbury Crossing, MA 02120. The listed phone number is (617) 524-4620.

What is Lisa Connolly's specialty?

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

Is Lisa Connolly enrolled in Medicare?

Yes. Lisa Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Connolly was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.