Active NPI
Lorrie Anne O'Brien, MSW, LCSW, LICSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1659686780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007700
- Practice address
- 10 Allen St
Enfield, CT 06082-4716 - Phone
- (860) 835-5926
- Fax
- (860) 835-5944
- NPI assigned
- Aug 12, 2010
- Last updated
- Mar 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116703 | MA | |
| Clinical Social Worker | 1041C0700X | 007700 | CT | Primary |
Addresses
Primary practice location
10 Allen St
Enfield, CT 06082-4716
Mailing address
10 Allen St
Enfield, CT 06082-4716
Phone (860) 835-5926
Other practice location 1
36 N Bedford St Ste C22
East Bridgewater, MA 02333-1186
Phone (860) 835-5926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000045 | CT | Practitioner - Clinical Social Worker | 6002083763 | Practice locations: Enfield, CT |
| I20130722000202 | MA | Practitioner - Clinical Social Worker | 6002083763 | Practice locations: East Bridgewater, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10 Allen St
Enfield, CT 06082-4716
Phone (860) 835-5926
36 N Bedford St
Suite C22
East Bridgewater, MA 02333-1186
Phone (860) 835-5926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007700 | CT | MD | Clinical Social Worker |
| 7700 | CT | MD | Clinical Social Worker |
| 116703 | MA | MD | Clinical Social Worker |
Interoperability endpoints
- lorriea.o'brien@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1659686780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALLEN ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824716",
"telephone_number": "860-835-5926",
"fax_number": "860-835-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALLEN ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824716",
"telephone_number": "860-835-5926",
"fax_number": "860-835-5944"
}
],
"practiceLocations": [
{
"address_1": "36 N Bedford St Ste C22",
"address_purpose": "LOCATION",
"city": "East Bridgewater",
"state": "MA",
"postal_code": "023331186",
"country_code": "US",
"telephone_number": "860-835-5926",
"fax_number": "860-835-5944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "LORRIE",
"middle_name": "ANNE",
"credential": "MSW, LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116703",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.