Individual provider Active NPI

O'Connell W. Case, L.C.S.W.

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1720041163
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006579A Issued in IN
Practice address
803 N Monroe St
Bloomington, IN 47404-3321
Phone
(812) 332-1262
Fax
(812) 334-8464
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 0904005231 VA
Clinical Social Worker 1041C0700X 34006579A IN Primary

Addresses

Primary practice location

803 N Monroe St
Bloomington, IN 47404-3321

Mailing address

803 N Monroe St
Bloomington, IN 47404-3321
Phone (812) 332-1262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000356 IN Practitioner - Clinical Social Worker 7618116138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 E 3Rd St
Bloomington, IN 47401-5344
Phone (812) 518-0380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006579AINMDClinical Social Worker
0904005231VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oconnellcaselcswllc Clinical CurrentSince Oct 2, 2021 Accepting new patients
Centerstone of Indiana, Inc. Current Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Middle Peninsula Northern Neck Mental Health & Retardation Past Accepting new patients
Stone Belt Arc, Inc. Clinical PastSince Feb 1, 2005 Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation Past Accepting new patients

Locations

2501 E 3rd St
Bloomington, IN 47401
Phone (812) 332-6427

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1720041163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N MONROE ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043321",
            "telephone_number": "812-332-1262",
            "fax_number": "812-334-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N MONROE ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043321",
            "telephone_number": "812-332-1262",
            "fax_number": "812-334-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "O'CONNELL",
        "middle_name": "W.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005231",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006579A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.