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MS. MARY KIMBERLY O'CONNOR LCSW-R
NPI 1336487438
Social Worker - Clinical in Rye, NY

Active since January 24, 2013Opted out of Medicare · through Feb 28, 2027
14 ELM PL STE 200, RYE, NY 10580(917) 453-2328 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Kimberly O'connor Lcsw-r NPPES

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

MS. MARY KIMBERLY O'CONNOR LCSW-R (NPI 1336487438) is an individual clinical provider in Rye, New York, licensed in New York (R048401-1) and active in the NPI registry since January 2013. She has opted out of Medicare through February 28, 2027.

NPPES Registry Identity

NPI1336487438
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY KIMBERLY O'CONNORCredential: LCSW-R
Location Address14 ELM PL STE 200Rye, NY 10580-2951
Mailing Address15 Sonn DrRye, NY 10580-2531 · (917) 453-2328 · Fax (914) 925-9839
Phone(917) 453-2328
Sole ProprietorYes
Enumeration DateJanuary 24, 2013
Last NPPES UpdateMay 17, 2019
✔ NPI 1336487438 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 · R048401-1
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.
14 ELM PL STE 200, Rye, NY 10580
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Mary Kimberly O'connor Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2023 through February 28, 2027.

Opt-Out Effective DateFebruary 28, 2023
Opt-Out In Effect ThroughFebruary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Mary O'connor's NPI number?

The NPI number for Mary O'connor is 1336487438. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Mary O'connor located?

Mary O'connor practices at 14 Elm Pl Ste 200, Rye, NY 10580. The listed phone number is (917) 453-2328.

What is Mary O'connor's specialty?

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

Is Mary O'connor enrolled in Medicare?

No. Mary O'connor has opted out of Medicare through February 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary O'connor was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.