Individual provider Active NPI

Joe O'Callaghan Jr., LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1013431444
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003706 Issued in CT
Practice address
8 Mill Brook Dr
Norwalk, CT 06851-2911
Phone
(203) 522-8083
Fax
(203) 847-0321
NPI assigned
Jul 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003706 CT Primary

Addresses

Primary practice location

8 Mill Brook Dr
Norwalk, CT 06851-2911

Mailing address

8 Mill Brook Dr
Norwalk, CT 06851-2911
Phone (203) 847-0321

Other practice location 1

114 East Ave Ste 1
Norwalk, CT 06851-5056
Phone (203) 522-8083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003706CTMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013431444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MILL BROOK DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512911",
            "telephone_number": "203-847-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MILL BROOK DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512911",
            "telephone_number": "203-522-8083",
            "fax_number": "203-847-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 East Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515056",
            "country_code": "US",
            "telephone_number": "203-522-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "JOE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.