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MS. JACLYN F O'CONNOR LCSW
NPI 1205474764
Social Worker - Clinical in Port Jefferson Station, NY

Active since December 16, 2019
59 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(516) 218-1336 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2020, Dec 16, 2019 (2 updates tracked since 2019).

About Ms. Jaclyn F O'connor Lcsw NPPES

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

MS. JACLYN F O'CONNOR LCSW (NPI 1205474764) is an individual clinical provider in Port Jefferson Station, New York, licensed in New York (092744) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1205474764
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACLYN F O'CONNORCredential: LCSW
Location Address59 NESCONSET HWYPort Jefferson Station, NY 11776-2628
Mailing Address59 Nesconset HwyPort Jefferson Station, NY 11776-2628 · (516) 218-1336
Phone(516) 218-1336
Sole ProprietorYes
Enumeration DateDecember 16, 2019
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1205474764 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 NY · 092744
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.
59 NESCONSET HWY, Port Jefferson Station, NY 11776
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDSEY MICHELLE CALLAN
Massage Therapist
59 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-5996
DR. MEHRAN GOLPARIANI MD
Anesthesiology (Pain Medicine)
59 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-2300
SOPHIA PARISE
Massage Therapist
59 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 740-4306
RASHIDA VASSEL
Massage Therapist
59 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (516) 828-5996

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 Jaclyn O'connor's NPI number?

The NPI number for Jaclyn O'connor is 1205474764. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Jaclyn O'connor located?

Jaclyn O'connor practices at 59 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (516) 218-1336.

What is Jaclyn O'connor's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaclyn O'connor was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.