MARISSA O'CONNOR
NPI 1386286896
Social Worker in Deer Park, NY

Q: What is Marissa O'connor's NPI number?

The NPI number for Marissa O'connor is 1386286896. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Q: What is Marissa O'connor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa O'connor was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 16, 2019PECOS Enrolled

770 GRAND BLVD STE 17, DEER PARK, NY 11729(516) 361-3576(631) 392-4358 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Marissa O'connor NPPES

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

MARISSA O'CONNOR (NPI 1386286896) is an individual social worker in Deer Park, New York and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lindenhurst.

NPPES Registry Identity

NPI1386286896

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARISSA O'CONNOR

Location Address770 GRAND BLVD STE 17Deer Park, NY 11729-5725

Mailing Address30 Tremont RdLindenhurst, NY 11757-1734 · (516) 361-3576

Phone(516) 361-3576

Fax(631) 392-4358

Sole ProprietorYes

Enumeration DateOctober 16, 2019

✔ NPI 1386286896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

770 GRAND BLVD STE 17, Deer Park, NY 11729

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Secondary Practice Location 1

Location 130 Tremont RdLindenhurst, NY 11757-1734 · Phone (516) 361-3576

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa O'connor 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.

Other Providers at the Same Location NPPES 11

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

WILFREDO MALE CORREA CRPA

Counselor (Addiction (Substance Use Disorder))