Provider Demographics
NPI:1649550484
Name:CONNOLLY, APRIL GATELY (LICSW)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:GATELY
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 QUINCY AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-2341
Mailing Address - Country:US
Mailing Address - Phone:781-535-4910
Mailing Address - Fax:781-356-0894
Practice Address - Street 1:197 QUINCY AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2341
Practice Address - Country:US
Practice Address - Phone:781-535-4910
Practice Address - Fax:781-356-0894
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1164431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical