NPI 1073862017

Jennifer C Connolly, LCSW

Practitioner Clinical Social Worker Winston-Salem, NC

Practice location

Address: 725 N. Highland Ave 2nd Floor, Winston-Salem, NC 27101-4206
Phone: (336) 607-8501
Fax: (336) 725-4030
Mailing address: 3210 Fairhill Dr, Raleigh, NC 27612-3215

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C008749 (NC)

Other Social Worker providers in North Carolina →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence P006709 (NC)

Other Counselor providers in North Carolina →

Registry record

NPI: 1073862017
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2012
Record last updated: 16 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.