Active NPI
Ann E. O'Connell, M.ED.; M.S.W. LICSW
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1659451763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1021861-1
- Practice address
- 361 Massachusetts Ave
01-03
Arlington, MA 02474-6719 - Phone
- (781) 646-9232
- Fax
- (781) 646-9230
- NPI assigned
- Oct 16, 2006
- Last updated
- Sep 26, 2013
- Sex
- Female
- 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 | 1021861-1 | MA | Primary |
Addresses
Primary practice location
361 Massachusetts Ave
01-03
Arlington, MA 02474-6719
Mailing address
16 Chetwynd Rd
Somerville, MA 02144-1218
Phone (617) 625-4638
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021861-1 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1659451763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CHETWYND RD",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441218",
"telephone_number": "617-625-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 MASSACHUSETTS AVE",
"address_2": "01-03",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746719",
"telephone_number": "781-646-9232",
"fax_number": "781-646-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "ANN",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "M.ED.; M.S.W. LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1021861-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.