Candice L O'Connor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075501 Issued in NY

Practice address

7609 4TH Ave
Brooklyn, NY 11209-3238

Phone

(718) 288-8065

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255495099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 RIDGE BLVD",
            "address_2": "5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096753",
            "telephone_number": "718-833-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093238",
            "telephone_number": "718-288-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CANDICE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth O'Connell, SPED
• Eleanor O'Connell, PTA
• Kyle O'Connell, MD
• Marcy O'Connell
• Brianne O'Connor, MD
• Clare Frances O'Connor, RN
• Daniel O'Connor, MS, ATC
• Elizabeth O'Connor
• Elizabeth Anne O'Connor
• Holly M O'Connor, LMSW

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.