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JOHN CONNOLLY LMSW
NPI 1801978077
Social Worker in Staten Island, NY

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
1688 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 447-5700(718) 442-8945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Connolly Lmsw NPPES

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

JOHN CONNOLLY LMSW (NPI 1801978077) is an individual social worker in Staten Island, New York, licensed in New York (053435-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1801978077
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJOHN CONNOLLYCredential: LMSW
Location Address1688 VICTORY BLVDStaten Island, NY 10314-3533
Mailing Address1688 Victory BlvdStaten Island, NY 10314-3533 · (718) 447-5700 · Fax (718) 442-8945
Phone(718) 447-5700
Fax(718) 442-8945
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801978077 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 NY · 053435-1
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.
1688 VICTORY BLVD, Staten Island, NY 10314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

John Connolly Lmsw 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 ID7012090178
PECOS Enrollment IDI20080212000690
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.

ANNE LEVESQUE LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KATHRYN MARIE RYAN LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
JANICE KOWALSKI LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
PAK LING CHEUNG
Counselor (Mental Health)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KELLEY NOELLE COPE LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
ROBERTO JENNINGS CASAC
Counselor (Addiction (Substance Use Disorder))
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
RACHEL MARNI KELLNER LMSW
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
STANELY CHARZEWSKI LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700

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 John Connolly's NPI number?

The NPI number for John Connolly is 1801978077. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is John Connolly located?

John Connolly practices at 1688 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 447-5700.

What is John Connolly's specialty?

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

Is John Connolly enrolled in Medicare?

Yes. John 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 John Connolly accept?

Health plans from Providence Health Plan list John 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 John Connolly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.