LESLIE CONNOLLY, P.A.
NPI 1699315754
Social Worker - Clinical in Portland, ME
About Leslie Connolly, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE CONNOLLY, P.A. (NPI 1699315754) is a healthcare organization registered as a clinical in Portland, Maine and active in the NPI registry since January 2020. The organization lists Leslie Connolly, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leslie Connolly, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Leslie Connolly, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Leslie Connolly, P.A.'s NPI number?
The NPI number for Leslie Connolly, P.A. is 1699315754. It was assigned to this organization in the NPPES registry on January 7, 2020.
Where is Leslie Connolly, P.A. located?
Leslie Connolly, P.A. is located at 25 Middle St, Portland, ME 04101. The listed phone number is (207) 831-9871.
What is Leslie Connolly, P.A.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Leslie Connolly, P.A. enrolled in Medicare?
Yes. Leslie Connolly, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leslie Connolly, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Leslie Connolly, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Leslie Connolly, P.A. was last updated on January 7, 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.
# Leslie Connolly, P.a. · NPI 1699315754
Clinical organization in Portland, Maine. Organization record, active in the CMS NPPES registry since January 7, 2020.
## Identity
- **NPI:** 1699315754 (Entity type: Organization)
- **Enumerated:** January 7, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Leslie Connolly, PROVIDER
## Practice location
- **Address:** 25 MIDDLE ST, Portland, ME 04101-4869
- **Phone:** (207) 831-9871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699315754) · Data from the CMS NPPES public registry.