Kimberly A O'Connor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077303 Issued in NY

Practice address

1133 Route 55
Ste 2
Lagrangeville, NY 12540-5051

Phone

(914) 456-9637

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Southern Dutchess Psychiatric Consultation PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Wappingers Falls, NY
  • NPI 1982021440
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1447561451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "STE 7",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "914-456-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 ROUTE 55",
            "address_2": "STE 2",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405051",
            "telephone_number": "914-456-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077303",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0532001",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "2198229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03336349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Murphy, PAC
• Ellen W Newhard, RN
• Michelle Niemiec, OPTICIAN
• Stephen C. Nippert, DVM
• Nuvance Health Medical Practice, PC
• Michelle Grace O'Hare Hogan, MS ED
• Olivia Medicine PC
• Ony Care of Ny II, LLC
• Ony Care of Ny IV, LLC
• Ony Care of Ny, LLC

• Clinical Social Worker in Lagrangeville, NY
• Providers in Lagrangeville, 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 Jan 23, 2017; 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.