Susan Lee O'Brien, MSW LCSW RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW015146 Issued in PA

Practice address

429 Linville Rd
Media, PA 19063-5429

Phone

(610) 565-7238

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538215330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 LINVILLE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635429",
            "telephone_number": "610-565-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 LINVILLE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635429",
            "telephone_number": "610-565-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellah C. Nota, CRNP
• Kristin Lynne Nowell, M.A.
• Sherry A Nykiel, MD
• Cara O'Brien, MD
• Erin O'Brien, LPC
• Thomas O'Brien, D.C
• Danielle O'Connell, OTD, OTR/L
• Patrick D. O'Connor, P.T.
• William M O'Connor, MD
• Mary Theresa O'Donovan, CERTIFIED RECOVERY

• Mental Health Counselor in Media, PA
• Providers in Media, PA by specialty
• Mental Health Counselor in Pennsylvania

• 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.