| M. Kim O'connor, Lcsw, Pllc | |
|
14 Elm Place Suite 200 Rye NY 10580-2951 | |
| (917) 453-2328 | |
| (914) 925-9839 |
| Full Name | M. Kim O'connor, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Elm Place, Rye, New York |
| Authorized Official Name and Position | Mary Kimberly O'connor (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 9174532328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Kim O'connor, Lcsw, Pllc 14 Elm Place Suite 200 Rye NY 10580-2951 Ph: (917) 453-2328 | M. Kim O'connor, Lcsw, Pllc 14 Elm Place Suite 200 Rye NY 10580-2951 Ph: (917) 453-2328 |
| NPI Number | 1285215335 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285215335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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