Individual provider Active NPI

Jacquelyn M. O'Flahrity, APSW MSW

  • Social Worker
  • Janesville, WI
National Provider Identifier
1467082313
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
128490-121 Issued in WI
Practice address
2600 Humes Rd Ste 100
Janesville, WI 53545-0491
Phone
(608) 741-2117
Fax
(608) 758-5761
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 128490-121 WI Primary

Addresses

Primary practice location

2600 Humes Rd Ste 100
Janesville, WI 53545-0491

Mailing address

2600 Humes Rd Ste 100
Janesville, WI 53545-0491
Phone (608) 741-2117

Other names 1

  • Jacquelyn M Taylor Dillon Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1467082313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 HUMES RD STE 100",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450491",
            "telephone_number": "608-741-2117",
            "fax_number": "608-758-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HUMES RD STE 100",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450491",
            "telephone_number": "608-741-2117",
            "fax_number": "608-758-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLAHRITY",
        "first_name": "JACQUELYN",
        "middle_name": "M.",
        "credential": "APSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128490-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "TAYLOR DILLON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.