Active NPI
Jacquelyn M. O'Flahrity, APSW MSW
- Social Worker
- Janesville, WI
National Provider Identifier
1467082313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128490-121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.