Organization Active NPI

Mark O'Connell, LCSW, LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1942575931
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079175-1 Issued in NY
Legal business name
MARK O'CONNELL, LCSW, LLC
Practice address
304 Park Ave S
Suite 1106
New York, NY 10010-4301
Phone
(212) 252-5195
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mark O'Connell, LCSWNPI 1568624617
Title
President
Phone
(212) 252-5195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 079175-1 NY Primary

Addresses

Primary practice location

304 Park Ave S
Suite 1106
New York, NY 10010-4301

Mailing address

304 Park Ave S
Suite 1106
New York, NY 10010-4301
Phone (212) 252-5195

National Provider Directory

National Provider Directory

Locations

304 Park Ave S
Ste 1106
New York, NY 10010
Phone (212) 252-5195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1942575931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PARK AVE S",
            "address_2": "SUITE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104301",
            "telephone_number": "212-252-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PARK AVE S",
            "address_2": "SUITE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104301",
            "telephone_number": "212-252-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK O'CONNELL, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-252-5195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079175-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.