Active NPI
Shannon Oconnor, LMSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1699349449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10313901
- Practice address
- 46 Lincoln Ave
Poughkeepsie, NY 12601-4518 - Phone
- (845) 471-6004
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10313901 | NY | Primary |
Addresses
Primary practice location
46 Lincoln Ave
Poughkeepsie, NY 12601-4518
Mailing address
18 Conklin St
Poughkeepsie, NY 12601-2408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10313901 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1699349449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CONKLIN ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 LINCOLN AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014518",
"telephone_number": "845-471-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "SHANNON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "10313901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.