Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CONNOLLY, LICSW
ActiveKELLY CONNOLLY, LICSW is a Social Worker healthcare provider located in COON RAPIDS, Minnesota. NPI 1487381091 is currently active in the NPPES registry. Verify at CMS.
Social Worker · COON RAPIDS, MN
Registration Details
- NPI Number
- 1487381091
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2022 (3.8442795438088 yrs)
- Last Updated
- Jan 17, 2023
- Licenses
-
25205 (MN)25205 (MN)
Practice Information
- Address
-
3960 COON RAPIDS BLVD NW STE 200COON RAPIDS, MN, 554332589Browse MN providers · Browse ZIP 55433
- Phone
- 7632369236
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| SCOTT CHARLES ELKERTON | LICSW | 1669434445 |
| MRS. MIRIAM GONZALEZ ULRICH | MSW, LGSW | 1841202439 |
| ELIZABETH RUSKIN SHANKLIN | LICSW | 1841398260 |
| JOANN DENISE GASNER | LICENSED SOCIAL WORK | 1376996926 |
| MRS. EILEEN MARIE CROSBY | LICSW | 1871049551 |
| LISA NEMITZ | — | 1215679477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.