Shelley Ann O'Connor, LCSW, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20748 Issued in MD

Practice address

458 Ritchie Highway
Suite 203D
Severna Park, MD 21146

Phone

(410) 508-1580

Fax

(877) 258-9432

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Compass Points Counseling LLC

  • Clinical Social Worker
  • Severna Park, MD
  • NPI 1679936207
  Medicare reassignment NPD Authorized official
• Paula Klepper LCSW-C LLC

  • Clinical Social Worker
  • Easton, MD
  • NPI 1760827059
  NPD (past)
• Family Behavioral Resources, Inc.

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1508933599
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1922101419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 212TH ST",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221440",
            "telephone_number": "410-508-1580",
            "fax_number": "877-258-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 RITCHIE HIGHWAY",
            "address_2": "SUITE 203D",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-508-1580",
            "fax_number": "877-258-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "credential": "LCSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sereta Elizabeth Noell, LCSW-C
• Northstar Counseling & Wellness, LLC
• Novus Pain Management - Maryland, LLC
• Robert O'Brien
• Pgayle O'Callaghan, PSY.D.
• Jolyce Adele O'Neill, LCPC
• Adel F O'Rourke, LCSW-C
• Peace I Odumeru, RBT
• Sandra L Ogas, RN
• Jelilat Okanlawon

• Clinical Social Worker in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.