STACI JUNE CONNOLLY (NPI# 1649319815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649319815 |
| Entity Type | Individual |
| Full Name | STACI JUNE CONNOLLY |
| Credential | LCSW |
| Practice Address |
639 Swedesford Rd Malvern PA 19355-1530 |
| Practice Telephone | 6105291579 |
| Mailing Telephone | 6105291579 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW014460 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 183 W Lancaster Ave, Paoli, PA 193011740 | 4845270181 |
| Street Address |
639 SWEDESFORD RD |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750744 | Allison Roman | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2020-08-11 |
| 1114572146 | Whitney Wilson | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2019-08-06 |
| 1912566431 | Cassandra Jane Wolff | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2019-06-08 |
| 1235583071 | Mary Christine Zawadzkas | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2016-04-18 |
| 1922428580 | Melissa Ferrigno | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2014-04-22 |
| 1386067270 | Cristina Dibartolomeo | Counselor | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506579 | Amber Klimovitz | Social Worker | 199 Line Rd, Malvern, PA 19355-3318 | 2018-11-05 |
| 1437524170 | Tisha R. Jenkins, Lcsw P.a. | Social Worker | 14475 Highway 9, Malvern, AR 72104-5879 | 2015-12-07 |
| 1619372174 | Phyllis Littman | Social Worker | 45 Creekside Ln, Apartment 315, Malvern, PA 19355-3217 | 2014-10-27 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| 1205165479 | Pennsylvania Gestalt Center | Social Worker | 1434 Treeline Dr, Malvern, PA 19355-9703 | 2009-12-16 |
| 1053515510 | Lorin Carlson-healy | Social Worker | 233 E King St Apt 224, Malvern, PA 19355-2543 | 2007-06-11 |
| 1912030057 | Self Expressions | Social Worker | Swedesford Corporate Center, 617 B. Swedesford Road, Malvern, PA 19355 | 2007-03-14 |
| 1871647156 | Romulus Henry | Social Worker | 829 Halbert Street, Malvern, AR 72104 | 2007-01-23 |
| 1154408698 | Flecia Greta Bryant | Social Worker | 829 Martin Luther King Blvd, Malvern, AR 72104-2637 | 2006-11-01 |
| 1063506996 | Therese M. Cavanaugh | Social Worker | 5 Mystic Ln, Malvern, PA 19355-1942 | 2006-10-03 |
| Find all providers in MALVERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.