Cameron O'Connor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11745 Issued in CT

Practice address

1200 High Ridge Rd
Stamford, CT 06905-1223

Phone

(914) 299-4072

NPI assigned

Sep 29, 2021

Sex

Male

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

Opted out of Medicare

Yes, effective Oct 25, 2023 through Oct 25, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Cameron O'Connor LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1912667833
  NPD Authorized official
• Harborlight Counseling, Inc.

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1871202697
  NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1972275816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7404",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068367404",
            "telephone_number": "914-299-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051223",
            "telephone_number": "914-299-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "CAMERON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition Inc. Now, LLC
• Brittaney Chioma Nwagboli
• Ijeoma Pamela Nwapa, RD
• Nyconn Orthopaedic & Rehabalitation Specialists, PLLC
• Ishara O'Carroll
• Fiona O'Connor, COTA
• Kathleen Anne O'Connor, PA-C
• Donna Elizabeth O'Hara, AGACNP-BC
• Bryan Thomas O'Neill, DPT
• Rebecca O'Neill, PHYSICIAN ASSISTANT

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.