Individual
SAMELLA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131275-121
WI
1041C0700X
Clinical Social Worker
Primary
10231-123
WI
1041C0700X
Clinical Social Worker
127301
IA
1041C0700X
Clinical Social Worker
149.031153
IL
1041C0700X
Clinical Social Worker
34012465A
IN
Other
Enumeration date
07/08/2021
Last updated
07/24/2026
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