Tara Theresa O'Connell, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

41945 Issued in TX

Practice address

3129 Topeka St
Corpus Christi, TX 78404-2436

Phone

(361) 563-8986

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1003691007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 TOPEKA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042436",
            "telephone_number": "361-563-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 TOPEKA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042436",
            "telephone_number": "361-563-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "TARA",
        "middle_name": "THERESA",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeen Nkechika Nwokoye
• Inemesit Mbang Nwosu, MSN, WHNP-BC
• Nylund Medical Services PLLC
• Precious Nwedo Nzeribe, MD
• Janice Lynette O'Connell, MS, LPC
• Amy E. O'Donnell, M.ED., CCC-A
• Amy Ryan O'Donnell, RDN
• Kayla O'Donnell
• Blake B O'Lavin, M.D.
• Meaghan Alyson O'Neill

• Clinical Social Worker in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.