Individual provider Active NPI

Colleen Frances O'Hare, LCSW

  • Clinical Social Worker
  • Modesto, CA
National Provider Identifier
1982736179
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27629 Issued in CA
Practice address
1510 Florida Ave
Modesto, CA 95350-4437
Phone
(209) 574-1030
Fax
(209) 574-1038
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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 27629 CA Primary

Addresses

Primary practice location

1510 Florida Ave
Modesto, CA 95350-4437

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 383-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20130218000325 CA Practitioner - Clinical Social Worker 6305090580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1500 Florida Ave
Modesto, CA 95350-4408
Phone (209) 722-4842

1510 Florida Ave
Modesto, CA 95350-4437
Phone (209) 722-4842

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 722-4842

1524 McHenry Ave
Modesto, CA 95350-4573
Phone (209) 722-4842

1524 McHenry Ave
Suite 300
Modesto, CA 95350-4570
Phone (209) 722-4842

1524 McHenry Ave
Suite 330
Modesto, CA 95350-4567
Phone (209) 722-4842

1524 McHenry Ave
Suite 535
Modesto, CA 95350-4572
Phone (209) 722-4842

1524 McHenry Ave
Suite 570
Modesto, CA 95350-4574
Phone (209) 722-4842

208 W Coolidge Ave
Modesto, CA 95350-4447
Phone (209) 722-4842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers CurrentSince Jan 5, 2013 Accepting new patients
Golden Valley Health Center CurrentSince Jan 5, 2013 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1510 Florida Ave
Modesto, CA 95350
Phone (209) 549-7090

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1982736179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504437",
            "telephone_number": "209-574-1030",
            "fax_number": "209-574-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "COLLEEN",
        "middle_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.