Amy Cirincione O'Connor, LCSW
Individual provider Active NPI Clinical Social Worker · McKinleyville, CA
NPI 1225307259 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1225307259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 270080 (CA)
- Practice address
- 121 Stolpe LN
McKinleyville, CA 95519-9767 - Phone
- (707) 267-5926
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606000645 | CA | Practitioner - Clinical Social Worker | 8426216334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270080 | CA | MD | Clinical Social Worker |
| 4345 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current |
Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4345 | OR | |
| Clinical Social Worker | 1041C0700X | 270080 | CA | Yes |
Addresses
Primary practice location
121 Stolpe LN
McKinleyville, CA 95519-9767
Mailing address
121 Stolpe LN
McKinleyville, CA 95519-9767
Phone (707) 267-5926
Other providers in McKinleyville, CA
- North Coast Nurture Center
- North Coast Psychotherapy Center for Anxiety and Ocd, Inc.
- North Pacific Dermatology a Medical Corporation
- Northern Humboldt Union High School District
- Jacob Andrew Norton
- Boston O'Donohue
- Teresa Basilla Oakley
- Teresina Whiterose Obie
- Hannah Olson
- Open Door Community Health Centers
All providers in McKinleyville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.