Michael K. O'Hearn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0007335-SUPV Issued in OH

Practice address

1862 Plaza del Sur Dr Apt 147
Santa Fe, NM 87505-6046

Phone

(513) 766-2496

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Care Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1871602698
  Medicare reassignment NPD
• Southwest Care Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1295109072
  NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739
  NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1730169913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 PLAZA DEL SUR DR APT 147",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056046",
            "telephone_number": "505-955-9454",
            "fax_number": "505-216-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 PLAZA DEL SUR DR APT 147",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056046",
            "telephone_number": "513-766-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARN",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1.0007335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0525",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98193",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007335-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "250935UBS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R O'Brien, D.C
• Molly A O'Brien, LMT
• Deirdre O'Connor
• Karen C O'Day, CNM, CFNP, MBA
• Loretta Michele O'Donnell
• Georgette M O'Leary, BMS
• S. Lily O'Leary, LMT
• Lisa Jane O'Loughlin, LMHC
• Lauren Deveraux O'Neal, OD
• Cindy O'Rourke, PT

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.

Verify at the official NPI Registry.