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

Samella Jolly, LCSW

Individual provider Clinical Social Worker · NPI 1821669037

Samella Jolly, LCSW is a Clinical Social Worker in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Iowa, Illinois, Indiana and Wisconsin.

Licensed in
IA, IL, IN, WI
In the registry since
2021
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
Phone: (920) 200-5594
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10231-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 127301 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34012465A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.031153 (IL)
Social Worker Taxonomy 104100000X · Licence 131275-121 (WI)

Record details

NPI number1821669037
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address2800 E Enterprise Ave Ste 333, Suite 333, Appleton, WI 54913-7889

Other providers in Appleton