SUSAN K O'CONNELL (NPI# 1629121769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629121769 |
| Entity Type | Individual |
| Full Name | SUSAN K O'CONNELL |
| Credential | MSW, LICSW |
| Practice Address |
740 Main St Suite 115 Waltham MA 02451-0607 |
| Mailing Address |
231 Upland Rd Newtonville MA 02460-2422 |
| Practice Telephone | 7818948344 |
| Mailing Telephone | 7818948344 |
| Mailing Fax Number | 6175272593 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
102591 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1857835 | 05 | |
| MA | AETNA | 0101949000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443056 | Susan O'connell | Behavior Technician | 48 Marion Ave, Stony Brook, NY 11790-2404 | 2017-12-15 |
| 1922146067 | Susan B. O'connell | Counselor | 527 Romona Rd, Wilmette, IL 60091-2122 | 2007-02-01 |
| 1417046376 | Susan B O'connell | Social Worker | 166 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2006-10-11 |
| 1851614259 | Susan Brooke O'connell | Nurse Practitioner | 2623 E Allegheny Ave, Philadelphia, PA 19134-5131 | 2010-03-12 |
| Street Address |
740 MAIN ST SUITE 115 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-0607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982977203 | Bml Nutrition Consulting, LLC | Dietitian, Registered | 740 Main St, Suite 112, Waltham, MA 02451-0607 | 2012-02-16 |
| 1235371436 | Belinda Lazzaro | Dietitian, Registered | 740 Main St, Suite 112, Waltham, MA 02451 | 2009-04-02 |
| 1891827143 | Joanne Heidi Twombly | Social Worker | 740 Main St, Room 105, Waltham, MA 02451-0607 | 2007-03-12 |
| 1285774018 | Phyllis Roslyn Greenspan | Social Worker | 740 Main St, Suite 105, Waltham, MA 02451-0607 | 2007-02-08 |
| 1205989795 | Molly-jane I Rubinger | Social Worker | 740 Main St, Suite 115, Waltham, MA 02451-0607 | 2007-01-19 |
| 1497818116 | Elizabeth Davenport | Social Worker | 740 Main St, Suite #105, Waltham, MA 02451 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1528527033 | Kelly Fanty | Social Worker | 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 | 2019-03-14 |
| 1578035721 | Sarah Elizabeth Teeven | Social Worker | 17 Linden Park Dr, Waltham, MA 02452-6216 | 2018-12-28 |
| 1588132682 | Lee Ann Walker Lowe | Social Worker | 99 Bright St # 2, Waltham, MA 02453-6580 | 2018-11-06 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1699240606 | Ronda Marie Randazzo | Social Worker | 309 Waverly Oaks Rd, Waltham, MA 02452-8443 | 2018-10-05 |
| 1518442870 | Jody O Gastfriend | Social Worker | 77 4th Ave, Waltham, MA 02451-7559 | 2018-10-02 |
| 1356826614 | Jill Mcnamara | Social Worker | 77 4th Ave Ste 500, Waltham, MA 02451-7559 | 2018-10-02 |
| 1124503792 | Janet Louise Mason | Social Worker | 88 Fuller St, Waltham, MA 02453-5841 | 2018-09-30 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| Find all providers in WALTHAM | ||||
Please comment or provide details below to improve the information on SUSAN K O'CONNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.