Individual provider Active NPI

Ann E. O'Connell, M.ED.; M.S.W. LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1659451763
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1021861-1 Issued in MA
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 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 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

LicenseStateTypeSpecialty
1021861-1MAMDClinical 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.

Verify at the official NPI Registry.