DR. DALTON KILLIAN CONNALLY LMSW, ACSW
NPI 1669815288
Social Worker - Clinical in Ann Arbor, MI

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104(734) 277-7565(734) 215-2363 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dalton Killian Connally Lmsw, Acsw NPPES

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

DR. DALTON KILLIAN CONNALLY LMSW, ACSW (NPI 1669815288) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801095252) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1669815288
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. DALTON KILLIAN CONNALLYCredential: LMSW, ACSW
Location Address3300 WASHTENAW AVE STE 260Ann Arbor, MI 48104-5184
Mailing Address3300 Washtenaw Ave Ste 260Ann Arbor, MI 48104-5184 · (734) 277-7565 · Fax (734) 215-2363
Fax(734) 215-2363
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 12, 2013
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
NPI 1669815288 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 MI · 6801095252
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.
3300 WASHTENAW AVE STE 260, Ann Arbor, MI 48104

Other Identifiers 1

MedicaidM17010MI

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

Dr. Dalton Killian Connally Lmsw, Acsw 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 ID9638304108
PECOS Enrollment IDI20131109000186
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 48104 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 11

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

Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104

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 Dalton Connally's NPI number?

The NPI number for Dalton Connally is 1669815288. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Dalton Connally located?

Dalton Connally practices at 3300 Washtenaw Ave Ste 260, Ann Arbor, MI 48104. The listed phone number is (734) 277-7565.

What is Dalton Connally's specialty?

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

Is Dalton Connally enrolled in Medicare?

Yes. Dalton Connally 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 Dalton Connally accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Dalton Connally 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 Dalton Connally was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.