Individual provider Active NPI

William Thomas O'Connor, LCSW

  • Clinical Social Worker
  • Columbia, LA
National Provider Identifier
1124324785
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9759 Issued in LA
Practice address
5159 Hwy 4 E
Columbia, LA 71418
Phone
(318) 649-3625
Fax
(318) 649-5731
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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 9759 LA Primary

Addresses

Primary practice location

5159 Hwy 4 E
Columbia, LA 71418

Mailing address

5159 Hwy 4 E
Columbia, LA 71418
Phone (318) 649-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000257 LA Practitioner - Clinical Social Worker 6709068075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9759LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Inspired Counseling & Consulting LLC CurrentSince Mar 17, 2025 Accepting new patients
Merakey Pennsylvania Past Accepting new patients
Merakey Pennsylvania Past Accepting new patients

Locations

2220 Shreveport Hwy
Pineville, LA 71360
Phone (318) 266-7021

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1124324785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 HWY 4 E",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418",
            "telephone_number": "318-649-3625",
            "fax_number": "318-649-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 HWY 4 E",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418",
            "telephone_number": "318-649-3625",
            "fax_number": "318-649-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.