Active NPI
M. Kim O'Connor, LCSW, PLLC
- Clinical Social Worker
- Rye, NY
National Provider Identifier
1285215335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- M. KIM O'CONNOR, LCSW, PLLC
- Practice address
- 14 Elm Place
Suite 200
Rye, NY 10580-2951 - Phone
- (917) 453-2328
- Fax
- (914) 925-9839
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Kimberly O'Connor, LCWSW-R
- Title
- Clinical Social Worker/Owner
- Phone
- (917) 453-2328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
14 Elm Place
Suite 200
Rye, NY 10580-2951
Mailing address
14 Elm Place
Suite 200
Rye, NY 10580-2951
Phone (917) 453-2328
National Provider Directory
National Provider DirectoryLocations
14 Elm Pl
Ste 200
Rye, NY 10580
Phone (646) 207-6494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rye, NY
- NPI 1336487438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1285215335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ELM PLACE",
"address_2": "SUITE 200",
"city": "RYE",
"state": "NY",
"postal_code": "105802951",
"telephone_number": "917-453-2328",
"fax_number": "914-925-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ELM PLACE",
"address_2": "SUITE 200",
"city": "RYE",
"state": "NY",
"postal_code": "105802951",
"telephone_number": "917-453-2328",
"fax_number": "914-925-9839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. KIM O'CONNOR, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KIMBERLY",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
"authorized_official_telephone_number": "917-453-2328",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCWSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.