Individual provider Active NPI

Terrance P O'Connor, LCSW - C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1508083197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03564 Issued in MD
Practice address
101 Quaint Acres Dr
Silver Spring, MD 20904-2713
Phone
(301) 622-5471
Fax
(301) 622-5478
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03564 MD Primary

Addresses

Primary practice location

101 Quaint Acres Dr
Silver Spring, MD 20904-2713

Mailing address

101 Quaint Acres Dr
Silver Spring, MD 20904-2713
Phone (301) 622-5471

Other identifiers 2

IdentifierTypeStateIssuer
Q826OtherMDCAREFIRST BLUE CROSS
G4540001OtherDCCAREFIRST BLUE CROSS

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508083197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 QUAINT ACRES DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042713",
            "telephone_number": "301-622-5471",
            "fax_number": "301-622-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUAINT ACRES DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042713",
            "telephone_number": "301-622-5471",
            "fax_number": "301-622-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TERRANCE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LCSW - C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "Q826",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "G4540001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.