Individual provider Active NPI

Yvonne O'Brien, LICSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1487043063
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10685 Issued in CT
Practice address
157 Church St FL 19
New Haven, CT 06510-2100
Phone
(347) 981-6775
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10685 CT Primary

Addresses

Primary practice location

157 Church St FL 19
New Haven, CT 06510-2100

Mailing address

45 Jefferson Rd Unit 1-14
Branford, CT 06405-4130
Phone (203) 208-0495

Other practice location 1

230 Ashmun Street
New Haven, CT 06511
Phone (203) 786-5970 ext. 327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217004607 CT Practitioner - Clinical Social Worker 1951738798 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10685CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cortes Counseling LLC Clinical CurrentSince Jul 21, 2025 Accepting new patients
Empowered Minds, LLC Clinical Current Accepting new patients
Yale University CurrentSince Dec 28, 2019 Accepting new patients
Yale University CurrentSince Dec 28, 2019 Accepting new patients

Locations

157 Church St
Fl 19
New Haven, CT 06510
Phone (475) 319-4067

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

350 Center Rock Grn
Ste 10
Oxford, CT 06478
Phone (203) 828-6790

350 Center Rock Grn
Ste 10D
Oxford, CT 06478
Phone (203) 450-9655

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1487043063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 JEFFERSON RD UNIT 1-14",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054130",
            "telephone_number": "203-208-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST FL 19",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "347-981-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Ashmun Street",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06511",
            "country_code": "US",
            "telephone_number": "203-786-5970 x327",
            "fax_number": "203-777-5839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "YVONNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.