Brendan O'Connell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085772 Issued in NY

Practice address

55 Carleton Ave Ste 5
East Islip, NY 11730-2133

Phone

(631) 579-3503

NPI assigned

Feb 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• B&L Cognitive Behavioral Psychology PLLC

  • Clinical Psychologist
  • Rockville Centre, NY
  • NPI 1891875225
  NPD (past)
• South Shore Mental Health Counseling Services,PC

  • Professional Counselor
  • East Islip, NY
  • NPI 1366890949
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1669937397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BAY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724019",
            "telephone_number": "631-678-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLETON AVE STE 5",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302133",
            "telephone_number": "631-579-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "BRENDAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence L Northorn, D.O.
• Northshore Wellness Medical PC
• Zachary Alexander Nowicki, DC
• Khrystyna Nykolyn, LMSW
• Brendan McSweeney O'Boyle, PA-C
• Kathleen O'Neill, LMSW, CASAC
• Susan M O'Neill, R.N.
• Veronica Ngozi Ogula, PMHNP/BC. DNP
• Oj Medtech, Inc
• Diane T Olsen, LPN

• Clinical Social Worker in East Islip, NY
• Providers in East Islip, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.