Active NPI
Rosemary E Oconnor, LCSW
- Social Worker
- Glen Cove, NY
National Provider Identifier
1700343217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104319
- 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, 2024
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 104319 | NY | MD | Social 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.
-
- Clinical Social Worker
- Glen Cove, NY
- NPI 1063108082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.