Individual provider · Type 1 NPI

Samella Jolly, LCSW

Clinical Social Worker · Appleton, WI

NPI number 1821669037 Active

Practice location

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Call (920) 200-5594 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X127301 (IA)
Clinical Social Worker 1041C0700X34012465A (IN)
Clinical Social Worker 1041C0700X149.031153 (IL)
Social Worker 104100000X131275-121 (WI)
Clinical Social Worker Primary 1041C0700X10231-123 (WI)

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 1821669037

Samella Jolly, LCSW's National Provider Identifier is 1821669037, issued on Jul 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Jul 24, 2026.