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MS. KIM A O'CONNELL LCSW
NPI 1124258140
Social Worker - Clinical in Montclair, NJ

Active since July 24, 2009PECOS Enrolled
11 SOUTH FULLERTON AVE, MONTCLAIR, NJ 07042(973) 632-6243 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kim A O'connell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIM A O'CONNELL LCSW (NPI 1124258140) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (44SC05212100) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124258140
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIM A O'CONNELLCredential: LCSW
Location Address11 SOUTH FULLERTON AVEMontclair, NJ 07042
Mailing Address90 Park StMontclair, NJ 07042-2929 · (973) 632-6243
Phone(973) 632-6243
Sole ProprietorYes
Enumeration DateJuly 24, 2009
✔ NPI 1124258140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05212100
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, 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.
11 SOUTH FULLERTON AVE, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kim A O'connell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim O'connell's NPI number?

The NPI number for Kim O'connell is 1124258140. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Kim O'connell located?

Kim O'connell practices at 11 South Fullerton Ave, Montclair, NJ 07042. The listed phone number is (973) 632-6243.

What is Kim O'connell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim O'connell enrolled in Medicare?

Yes. Kim O'connell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim O'connell was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.