Individual provider Active NPI

Joan Lynn Griffin O'Sullivan, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1578602173
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014661 Issued in IL
Practice address
10402 S Cicero Ave
Oak Lawn, IL 60453-4704
Phone
(708) 422-2898
Fax
(708) 636-8778
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 149014661 IL Primary

Addresses

Primary practice location

10402 S Cicero Ave
Oak Lawn, IL 60453-4704

Mailing address

11938 Sterling Dr
Orland Park, IL 60467-1420
Phone (708) 807-3872

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149014661ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1578602173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11938 STERLING DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671420",
            "telephone_number": "708-807-3872",
            "fax_number": "708-460-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534704",
            "telephone_number": "708-422-2898",
            "fax_number": "708-636-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN O'SULLIVAN",
        "first_name": "JOAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.