Active NPI
Terrance P O'Connor, LCSW - C
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1508083197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03564
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q826 | Other | MD | CAREFIRST BLUE CROSS |
| G4540001 | Other | DC | CAREFIRST 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.