Katie O'Connor

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0916001 Issued in NY

Practice address

10470 Queens Blvd
Forest Hills, NY 11375-3638

Phone

(603) 560-7451

NPI assigned

Feb 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Jangraw Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1477913028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 80TH ST",
            "address_2": "APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751052",
            "telephone_number": "603-560-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753638",
            "telephone_number": "603-560-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0916001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "JANGRAW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nyc Retina Surgery Center LLC
• Lindsay Nyland
• Lynn O'Brien, ACSW, LCSW
• Anne O'Connor
• Edward Scott O'Connor, PSY.D.
• John James O'Donnell, R.PH.
• Theresa O'Hagan-Kelly
• Nancy Elizabeth O'Reilly, BCBA, LBA
• Patricia A O'Sullivan, M.S.
• Rosaida Obispo Vasquez

• Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Feb 25, 2016; 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.