Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821669037 Individual Practitioner Female Practitioner

Samella Jolly , LCSW

Social Worker - Clinical • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Samella Jolly, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Appleton, WI. Practice services are available at 2800 E ENTERPRISE AVE STE 333 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 E Enterprise Ave Ste 333

Appleton, WI 549137889

Telephone 9202005594
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
136 Specialists

Practicing in Appleton, WI (4282 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WI 10231-123

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License IA 127301

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License IN 34012465A

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License IL 149.031153

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker

NUCC Taxonomy Code: 104100000X

State License WI 131275-121

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Pamelena Grier , RN

Registered Nurse

NPI 1043132418

Registered Nurse

Lauren Braun , LPC

Counselor - Mental Health

NPI 1154001337

Licensed Professional Counselor

Dr. Alev Ildiz , PsyD

Psychologist - Clinical

NPI 1164062782

Doctor of Psychology (Psy.D.)

Lena Harrison

Counselor - Professional

NPI 1164201638
Elissa Daniel , MS, LPC

Counselor - Professional

NPI 1275263824

Master of Science, Licensed Professional Counselor

Christine Churchill

Social Worker - Clinical

NPI 1326637034

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address July 24, 2026

Registered at 2800 E ENTERPRISE AVE STE 333, SUITE 333, APPLETON, WI 549137889 (Tel: 9202005594)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Social Worker (License #127301 in IA)

📍
Updated Practice Location January 13, 2026

Registered at 2800 E ENTERPRISE AVE STE 333, APPLETON, WI 549137889 (Tel: 9202005594)

📍
Updated Business Mailing Address January 13, 2026

Registered at 2800 E ENTERPRISE AVE STE 333, APPLETON, WI 549137889 (Tel: 9202005594)

👤
Provider Name / Credentials Updated January 13, 2026

Recorded as SAMELLA JOLLY, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2026

Social Worker (License #34012465A in IN)

NPI Profile Active July 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2021

Registered at 1216 N 13TH ST, MILWAUKEE, WI 532052515 (Tel: 4143162201)

📍
Updated Business Mailing Address July 08, 2021

Registered at 4224 N 92ND ST APT 1, MILWAUKEE, WI 532221638 (Tel: 4143395595)

👤
Provider Name / Credentials Updated July 08, 2021

Recorded as SAMELLA JOLLY, APSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2021

Social Worker (License #131275-121 in WI)

🟢
Initial NPI Registration & Enumeration July 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Samella Jolly. Be the first to share your experience!

Sign in to leave a review for Samella Jolly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821669037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2021
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

2800 E Enterprise Ave Ste 333, Suite 333

Appleton, WI 549137889

Phone: 9202005594

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.