Individual provider Active NPI

Rosemary E Oconnor, LCSW

  • Social Worker
  • Glen Cove, NY
National Provider Identifier
1700343217
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104319 Issued in NY
Practice address
50 Glen St Ste 311
Glen Cove, NY 11542-2701
Phone
(929) 324-7717
NPI assigned
Feb 21, 2019
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104319 NY Primary

Addresses

Primary practice location

50 Glen St Ste 311
Glen Cove, NY 11542-2701

Mailing address

17 Tradewinds Dr
Bayville, NY 11709-3013
Phone (631) 524-1111

Other practice location 1

17 Tradewinds Dr
Bayville, NY 11709-3013
Phone (631) 524-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 11, 2025 through Oct 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104319NYMDSocial Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1700343217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TRADEWINDS DR",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117093013",
            "telephone_number": "631-524-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN ST STE 311",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422701",
            "telephone_number": "929-324-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Tradewinds Dr",
            "address_purpose": "LOCATION",
            "city": "Bayville",
            "state": "NY",
            "postal_code": "117093013",
            "country_code": "US",
            "telephone_number": "631-524-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "ROSEMARY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.