STACI JUNE CONNOLLY LCSW
NPI 1649319815
Social Worker - Clinical in Malvern, PA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
639 SWEDESFORD RD, MALVERN, PA 19355(610) 529-1579 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Staci June Connolly Lcsw NPPES

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

STACI JUNE CONNOLLY LCSW (NPI 1649319815) is an individual clinical provider in Malvern, Pennsylvania, licensed in Pennsylvania (CW014460) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1649319815
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACI JUNE CONNOLLYCredential: LCSW
Location Address639 SWEDESFORD RDMalvern, PA 19355-1530
Mailing Address639 Swedesford RdMalvern, PA 19355-1530 · (610) 529-1579
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 24, 2020
NPI 1649319815 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 PA · CW014460
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.
639 SWEDESFORD RD, Malvern, PA 19355

Accepted 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

Staci June 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 ID7113355223
PECOS Enrollment IDI20240709002435
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 19355 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 12

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

Social Worker (Clinical)
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor (Professional)
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor (Mental Health)
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor (Professional)
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor (Professional)
639 SWEDESFORD RD
MALVERN, PA 19355
Psychologist (Clinical)
639 SWEDESFORD RD
MALVERN, PA 19355
Counselor (Mental Health)
639 SWEDESFORD RD
MALVERN, PA 19355

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 Staci Connolly's NPI number?

The NPI number for Staci Connolly is 1649319815. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Staci Connolly located?

Staci Connolly practices at 639 Swedesford Rd, Malvern, PA 19355. The listed phone number is (610) 529-1579.

What is Staci Connolly's specialty?

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

Is Staci Connolly enrolled in Medicare?

Yes. Staci 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.

What insurance does Staci Connolly accept?

Health plans from Providence Health Plan list Staci 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 Staci Connolly was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.