Active NPI
Amy O'Connor, LMSW
- Social Worker
- Malverne, NY
National Provider Identifier
1194184416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 096955
- Practice address
- 20 Walker St
Malverne, NY 11565-1829 - Phone
- (718) 938-3267
- Fax
- (516) 599-3002
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 096955 | NY | Primary |
Addresses
Primary practice location
20 Walker St
Malverne, NY 11565-1829
Mailing address
20 Walker St
Malverne, NY 11565-1829
Phone (718) 938-3267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 096955 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1194184416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WALKER ST",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115651829",
"telephone_number": "718-938-3267",
"fax_number": "516-599-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WALKER ST",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115651829",
"telephone_number": "718-938-3267",
"fax_number": "516-599-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "AMY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.