Timothy J O'Connor in Lauderdale Lakes - Clinical
Timothy J O'Connor - NPI 1124155726
Timothy J O'Connor is a Clinical in Lauderdale Lakes, Florida. Timothy J O'Connor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy J O'Connor is 1124155726. The last update date is 2007-07-08.
Timothy J O'Connor's current location address is 4720 N State Road 7 Bldg B, Lauderdale Lakes, Florida. You can contact this provider via phone number 9544973850 and fax number 9544973857. The mailing address for Timothy J O'Connor is 4720 N State Road 7 Bldg B, Lauderdale Lakes, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J O'Connor |
|---|---|
| Address | 4720 N State Road 7 Bldg B, Lauderdale Lakes, Florida |
| Phone Number | 9544973850 |
| Fax Number | 9544973857 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124155726 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4720 N State Road 7 Bldg B |
|---|---|
| City | Lauderdale Lakes |
| State | Florida (FL) |
| Post Code | 333195860 |
| Phone Number | 9544973850 |
| Fax Number | 9544973857 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5622 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 763866300 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy J O'Connor by the Centers for Medicare & Medicaid Services?
The Timothy J O'Connor has been issued the NPI (National Provider Identifier) 1124155726. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy J O'Connor's facilities are situated?
The facilities of Timothy J O'Connor are physically located at the following address: 4720 N State Road 7 Bldg B, Lauderdale Lakes, FL, 333195860.
What is Timothy J O'Connor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy J O'Connor is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124155726 to Timothy J O'Connor?
The Centers for Medicare & Medicaid Services originally issued the 1124155726 to Timothy J O'Connor on 2007-02-28.
When was the information regarding Timothy J O'Connor, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy J O'Connor, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC