CARRIE LEE O'CONNOR LGSW
NPI 1699217646
Social Worker in Centreville, MD

Active since November 08, 2016PECOS EnrolledAccepts Medicare Assignment
602 LITTLE KIDWELL AVE, CENTREVILLE, MD 21617(443) 350-3743 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Nov 8, 2016 (2 updates tracked since 2016).

About Carrie Lee O'connor Lgsw NPPES

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

CARRIE LEE O'CONNOR LGSW (NPI 1699217646) is an individual social worker in Centreville, Maryland, licensed in Maryland (22336) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699217646
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCARRIE LEE O'CONNORCredential: LGSW
Location Address602 LITTLE KIDWELL AVECentreville, MD 21617-1215
Mailing Address602 Little Kidwell AveCentreville, MD 21617-1215 · (443) 350-3743
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 8, 2016
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1699217646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 22336
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.
602 LITTLE KIDWELL AVE, Centreville, MD 21617

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carrie Lee O'connor Lgsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769897776
PECOS Enrollment IDI20210224000844
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Carrie O'connor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
207 N LIBERTY ST, SUITE B
Centreville, MD 21617
  • Reassigned Medicare billing, Maryland enrollment
  • 13 clinicians in this Medicare group
Cardiovascular Disease
202 COURSEVALL DR STE 101
Centreville, MD 21617
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
480 PORT ST
Easton, MD 21601
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
Addiction Medicine
26 LEWIS ST # 2
Yonkers, NY 10703
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carrie O'connor's NPI number?

The NPI number for Carrie O'connor is 1699217646. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Carrie O'connor located?

Carrie O'connor practices at 602 Little Kidwell Ave, Centreville, MD 21617. The listed phone number is (443) 350-3743.

What is Carrie O'connor's specialty?

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

Is Carrie O'connor enrolled in Medicare?

Yes. Carrie O'connor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carrie O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie O'connor reassigns Medicare benefits to 4 organizations: Bridges Behavioral Health & Wellness (Centreville, MD), Luminis Health Medical Group, LLC (Centreville, MD), Fello Inc (Easton, MD) and Live Life Now Health Group PA (Yonkers, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carrie O'connor was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.