Active NPI
Carol J O'Connell
- Clinical Social Worker
- West Barnstable, MA
National Provider Identifier
1750420022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1023219
- Practice address
- 1025 Main St
West Barnstable, MA 02668-1125 - Phone
- (508) 362-4141
- Fax
- (508) 362-4141
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1023219 | MA | Primary |
Addresses
Primary practice location
1025 Main St
West Barnstable, MA 02668-1125
Mailing address
PO Box 347
West Barnstable, MA 02668-0347
Phone (508) 362-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06708 | Other | BCBS |
Other names 1
- Ms. Carol Williamson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Healthcare Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyannis, MA
- NPI 1245286152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750420022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"city": "WEST BARNSTABLE",
"state": "MA",
"postal_code": "026680347",
"telephone_number": "508-362-4141",
"fax_number": "508-362-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAIN ST",
"city": "WEST BARNSTABLE",
"state": "MA",
"postal_code": "026681125",
"telephone_number": "508-362-4141",
"fax_number": "508-362-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "CAROL",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1023219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P06708",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "WILLIAMSON",
"prefix": "MS.",
"credential": "M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Barnstable, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.