Vivian C Oconnor in Massapequa - Clinical

Vivian C Oconnor - NPI 1265449938

Vivian C Oconnor is a Clinical in Massapequa, New York. Vivian C Oconnor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vivian C Oconnor is 1265449938. The last update date is 2008-09-30.

Vivian C Oconnor's current location address is 19 Riverside Ave, Massapequa, New York. You can contact this provider via phone number 5167985365 and fax number 5167985365. The mailing address for Vivian C Oconnor is 19 Riverside Ave, Massapequa, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian C Oconnor
Address 19 Riverside Ave, Massapequa, New York
Phone Number 5167985365
Fax Number 5167985365
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1265449938
Provider Enumeration Date 2006-08-02
Last Updated Date 2008-09-30

Provider Mailing Address Detail

Address 19 Riverside Ave
City Massapequa
State New York (NY)
Post Code 117585728
Phone Number 5167985365
Fax Number 5167985365

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R0304311
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
N40721 EMPIRE BLUE CROSS BLUE SH
4353468 AETNA
SF0001416 SELECT PRO
7402592 GHI GROUP HEALTH INS
38203 VALUE OPTIONS
2051921 NY --
141030000 MAGELLAN

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FAQs about Vivian C Oconnor

What is the unique 10-digit identification code assigned to Vivian C Oconnor by the Centers for Medicare & Medicaid Services?

The Vivian C Oconnor has been issued the NPI (National Provider Identifier) 1265449938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Vivian C Oconnor's physical address?

The Vivian C Oconnor is physically located at 19 Riverside Ave, in the city of Massapequa, NY, with the postal code 117585728.

What is Vivian C Oconnor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Vivian C Oconnor is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

When did the Vivian C Oconnor receive its 1265449938?

The Vivian C Oconnor was issued its 1265449938 on 2006-08-02, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Vivian C Oconnor most recently updated or revised?

The information pertaining to Vivian C Oconnor, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-30.

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