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

Jamie Connolly, LCSW

Individual provider Clinical Social Worker · NPI 1669279386

Jamie Connolly, LCSW is a Clinical Social Worker in Pinehurst, North Carolina. Qualified in 2021, 5 years ago. Practices with Mcpc-11 LLC, a 30-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

42 Memorial Dr
Pinehurst, NC 28374-8707
Phone: (910) 715-3376
Fax: (910) 715-5391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017143 (NC)

Record details

NPI number1669279386
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McPc-11 Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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