Kristin O'Connor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91294 Issued in CA

Practice address

10368 Donner Pass Rd
Truckee, CA 96161-0427

Phone

(530) 580-8496

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Truckee Therapy Inc Licensed Clinical Social Worker

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Truckee, CA
  • NPI 1831814698
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1730547951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961600759",
            "telephone_number": "530-582-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610427",
            "telephone_number": "530-580-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W 1st St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895035675",
            "country_code": "US",
            "telephone_number": "775-322-8941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10121 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961614835",
            "country_code": "US",
            "telephone_number": "708-289-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11025 Pioneer Trl Unit 220",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610250",
            "country_code": "US",
            "telephone_number": "530-580-8496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10956 Donner Pass Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961614861",
            "country_code": "US",
            "telephone_number": "530-582-6205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Coffin Old, EDS, LPC, NCC, MFT
• Donald Joel Orme, D.D.S.
• Vanessa Orozco Villanueva, MA, LMFT
• Maria Sylma Ortiz-Tweed, M.D.

• Clinical Social Worker in Truckee, CA
• Providers in Truckee, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.