Individual provider Active NPI

Lauren O'Connor

  • Clinical Social Worker
  • Fort Walton Beach, FL
National Provider Identifier
1235046400
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW23743 Issued in FL
Practice address
308 Miracle Strip Pkwy SW Unit 33B
Fort Walton Beach, FL 32548-5215
Phone
(405) 243-0577
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 ISW23743 FL Primary

Addresses

Primary practice location

308 Miracle Strip Pkwy SW Unit 33B
Fort Walton Beach, FL 32548-5215

Mailing address

308 Miracle Strip Pkwy SW Unit 33B
Fort Walton Beach, FL 32548-5215
Phone (405) 243-0577

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1235046400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MIRACLE STRIP PKWY SW UNIT 33B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485215",
            "telephone_number": "405-243-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MIRACLE STRIP PKWY SW UNIT 33B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485215",
            "telephone_number": "405-243-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW23743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.