MRS. JENNIFER OCONNOR (NPI# 1922493378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922493378 |
Entity Type | Individual |
Full Name | MRS. JENNIFER OCONNOR |
Practice Address |
26 Queen St Worcester MA 01610-2473 |
Mailing Address |
12 Weldon Ave Worcester MA 01607-1442 |
Practice Telephone | 5088601055 |
Mailing Telephone | 5088601055 |
Enumeration Date | 2015-04-02 |
Last Update Date | 2015-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790788594 | Jennifer Oconnor | Family Medicine | 700 Horizon Cir, Suite 103, Chalfont, PA 18914-3967 | 2005-05-24 |
1922619063 | Jennifer Nicole Oconnor | Social Worker | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-08-12 |
1508359720 | Jennifer Oconnor | Social Worker | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2018-06-12 |
Street Address |
26 QUEEN ST |
City | WORCESTER |
State | MA |
Zip Code | 01610-2473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
1275143646 | Teresa Phelan | Peer Specialist | Umass Memorial Medical Center, 55 Lake Avenue North, Psychiatry, Worcester, MA 01655 | 2020-07-31 |
1023586054 | Tamara Ann Buckley Leclerc | Peer Specialist | 29 E Mountain St, Worcester, MA 01606-1400 | 2018-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
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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.