Individual provider Active NPI

Carol J O'Connell

  • Clinical Social Worker
  • West Barnstable, MA
National Provider Identifier
1750420022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1023219 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P06708OtherBCBS

Other names 1

  • Ms. Carol Williamson Professional name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.