Aimee Lorraine O'Connell

Primary specialty

Social WorkerTaxonomy code 104100000X

License

070537-1 Issued in NY

Practice address

625 Belle Terre Rd Ste 202
Port Jefferson, NY 11777-2318

Phone

(631) 689-0220

Fax

(631) 686-7626

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCIIBD/Endpoint/DCIIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773
  Medicare reassignment NPD

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1356823124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BELLE TERRE RD STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772318",
            "telephone_number": "631-689-0220",
            "fax_number": "631-686-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BELLE TERRE RD STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772318",
            "telephone_number": "631-689-0220",
            "fax_number": "631-686-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "AIMEE",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Suffolk Surgical Assoc
• Stephanie Nucci II, PA
• Nurse Practitioner Infant and Child Healthcare, PC (Michele Kelly LPNP, NPP)
• Benjamin O'Brien
• Marie O'Brien, ANP
• Kevin M O'Connell, OTR
• Shauna S O'Hanlon
• Melanie Sarah O'Leary, PT, DPT
• Christine E O'Reilly
• Alexandria Nicole Odell, FNP-BC

• Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.