Individual provider Active NPI

Michelle Esther O'Brien, PHD, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154935963
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097082 Issued in NY
Practice address
280 Madison Ave
Suite 1108
New York, NY 10016-0815
Phone
(347) 265-9307
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109869 NY
Clinical Social Worker 1041C0700X 097082 NY Primary

Addresses

Primary practice location

280 Madison Ave
Suite 1108
New York, NY 10016-0815

Mailing address

280 Madison Ave
Suite 1108
New York, NY 10016-0815
Phone (347) 265-9307

Other practice location 1

44 E 12th St
New York, NY 10003-4632
Phone (917) 885-7892

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
097082NYMDSocial Worker
109869NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle O'Brien Psychotherapy LCSW PLLC Clinical Current Accepting new patients

Locations

280 Madison Ave
Rm 1108
New York, NY 10016
Phone (212) 308-5363

Organizations & group practices 1

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1154935963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160815",
            "telephone_number": "347-265-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160815",
            "telephone_number": "347-265-9307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 E 12th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034632",
            "country_code": "US",
            "telephone_number": "917-885-7892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHELLE",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109869",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.