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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAMELLA JOLLY LCSW
NPI 1821669037
Social Worker - Clinical in Appleton, WI

Active since July 08, 2021
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913(920) 200-5594 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jan 13, 2026, Jul 20, 2021 and 1 more (4 updates tracked since 2021).

About Samella Jolly Lcsw NPPES

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

SAMELLA JOLLY LCSW (NPI 1821669037) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (10231-123) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1821669037
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMELLA JOLLYCredential: LCSW
Location Address2800 E ENTERPRISE AVE STE 333Appleton, WI 54913-7889
Mailing Address2800 E Enterprise Ave Ste 333, Suite 333Appleton, WI 54913-7889 · (920) 200-5594
Phone(920) 200-5594
Sole ProprietorYes
Enumeration DateJuly 8, 2021
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1821669037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 10231-123✔ Licensed in IA · 127301✔ Licensed in IN · 34012465A✔ Licensed in IL · 149.031153
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 131275-121 (WI)
2800 E ENTERPRISE AVE STE 333, Appleton, WI 54913
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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.

GREENING HOME HEALTHCARE LLC
Custodial Care Facility (Adult Care Home)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (763) 485-1011
MOBILITY TRANSPORT SERVICES LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (603) 315-8068
INNOVATIVE MINDS ABA OF WISCONSIN, LTD.
Behavior Analyst
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (559) 977-7321
360 MEDICAL GROUP WISCONSIN SC
Family Medicine
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (551) 372-9260
SOUND MIND LLC
Social Worker (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (847) 770-3752
LAUREN RAE BRAUN LPC
Counselor (Mental Health)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (608) 515-8265
ATLASCARE LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (614) 632-9787
DR. ALEV G ILDIZ PSYD
Psychologist (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (414) 502-9023

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 Samella Jolly's NPI number?

The NPI number for Samella Jolly is 1821669037. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Samella Jolly located?

Samella Jolly practices at 2800 E Enterprise Ave Ste 333, Appleton, WI 54913. The listed phone number is (920) 200-5594.

What is Samella Jolly's specialty?

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

When was this NPI record last updated?

The NPPES record for Samella Jolly was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.