Individual provider · Type 1 NPI

Jennifer C. Connolly, LCSW

Clinical Social Worker · Winston-Salem, NC

NPI number 1073862017 Active

Practice location

725 N. Highland Ave, 2nd Floor
Winston-Salem, NC 27101-4206

Fax (336) 725-4030

Mailing address

3210 Fairhill Dr
Raleigh, NC 27612-3215

Other practice locations

  • 1901 Adams Farm Pkwy, Greensboro, NC 27407-6338 · (336) 722-7266
  • 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 · (336) 722-7266
  • 1615 Polo Rd, Winston Salem, NC 27106-3831 · (336) 722-7266

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XP006709 (NC)
Clinical Social Worker Primary 1041C0700XC008749 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1073862017

Jennifer C. Connolly, LCSW's National Provider Identifier is 1073862017, issued on Sep 6, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston-Salem, NC. The record was last updated on Jun 16, 2026.