Vicki O'Brien, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

998 Crooked Hill Rd
Western Suffolk Center
W Brentwood, NY 11717-1019

Phone

(631) 761-3354

Fax

(631) 761-3388

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1811217128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "WESTERN SUFFOLK CENTER",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3354",
            "fax_number": "631-761-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "WESTERN SUFFOLK CENTER",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3354",
            "fax_number": "631-761-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "VICKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Joan Hunsucker, R.D., CDN
• Alicekutty Nelpura John, M.D
• Robert F Malcomson, R.N.
• Alan N Meisel, MD
• Remedios Valencia Mendegorin, M.D.
• Karen M. O'Keefe, LCSW-R, CASAC
• Siby Paul
• Skyler Rosen, LCSW
• Sheela Sebastian
• Jennifer Rose Senft-Maltese, LCSW

• Clinical Social Worker in W Brentwood, NY
• Providers in W Brentwood, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.