Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaelyn Connaughty

Individual provider Clinical Social Worker · NPI 1295509982

Jaelyn Connaughty is a Clinical Social Worker in Green Bay, Wisconsin. Qualified in 2023, 3 years ago. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1499 6th St
Green Bay, WI 54304-2252
Phone: (920) 497-6161
Fax: (888) 974-5769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (WI)

Record details

NPI number1295509982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2023
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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