Renee Michelle O'Connell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW22656 Issued in FL

Practice address

109 N Oakwood Ave Ste 105
Brandon, FL 33510-4629

Phone

(813) 819-8704

NPI assigned

Oct 28, 2025

Last updated

Oct 28, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emerald Clover, LLC

  dba Ellie Mental Health - St. Petersburg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1972218055
  NPD
• Tranquility Wellness Group, LLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1003522723
  NPD

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1740158062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E TWIGGS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023104",
            "telephone_number": "802-774-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N OAKWOOD AVE STE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-819-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW22656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahima Nunez Leygonier
• Diana Nunez
• Nur Behavioral Health
• Chris Nussbaum, MD
• Kelly Kathleen Nye
• Zoey O'Connor
• Michael O'Donnell, DMD
• Leanne O'Keefe-Cox, PTA
• Henry Michael O'Malley II, H.A.S., N.B.C.-H.I.S
• Julia O'Malley, P.A.

• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.