Kristyn O'Rourke, LCSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020742 Issued in PA

Practice address

100 Henry St
Sayre, PA 18840-2909

Phone

(570) 731-5434

NPI assigned

Feb 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Casa-Trinity, Inc.

  • Case Management Agency
  • Geneseo, NY
  • NPI 1184281388
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1497113641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052526",
            "telephone_number": "607-368-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HENRY ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402909",
            "telephone_number": "570-731-5434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Lake St",
            "address_2": "2ND FLOOR",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149013401",
            "country_code": "US",
            "telephone_number": "607-737-5215 x206",
            "fax_number": "607-737-5219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KRISTYN",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020742",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "097079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim J. Norville, M.D.
• Nova Behavioral Health, LLC
• Angella Novotny
• Joan Elizabeth O'Connor, CRNP
• Peter O'Halloran, MD
• Esther M Oakley, M.D.
• Emily S. Oberst, PA-C
• Christabel Oluchi Okehie, M.D.
• Aloysius Ogochukwu Okeke, FNP
• Amarachi Chiamaka Okonkwo, PMHNP-BC

• Clinical Social Worker in Sayre, PA
• Providers in Sayre, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.