Individual provider Active NPI

Donna O'Hearon, LMSW

  • Social Worker
  • Islip Terrace, NY
National Provider Identifier
1366143158
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
046117 Issued in NY
Practice address
859 Connetquot Ave Ste 10
Islip Terrace, NY 11752-1400
Phone
(631) 277-8300
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 046117 NY Primary

Addresses

Primary practice location

859 Connetquot Ave Ste 10
Islip Terrace, NY 11752-1400

Mailing address

859 Connetquot Ave Ste 10
Islip Terrace, NY 11752-1400
Phone (631) 277-8300

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046117NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Haven Inc PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1366143158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 CONNETQUOT AVE STE 10",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521400",
            "telephone_number": "631-277-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 CONNETQUOT AVE STE 10",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521400",
            "telephone_number": "631-277-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARON",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "046117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.