Individual provider Active NPI

Lorrie Anne O'Brien, MSW, LCSW, LICSW

  • Clinical Social Worker
  • Enfield, CT
National Provider Identifier
1659686780
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007700 Issued in CT
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
007700CTMDClinical Social Worker
7700CTMDClinical Social Worker
116703MAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.