Doctor Name: | MRS. KIMBERLY A O'CONNOR |
NPI Number: | 1447561451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0532001 |
Business Practice Address: | 1983 Route 52 Suite 6 Hopewell Junction, NY - 125333513 |
Business Phone Number: | 9144569637 |
Business Fax Number: | |
Mailing Address: | 1983 Route 52, Suite 6 HOPEWELL JUNCTION |
State: | NY |
Postal Code: | 125333513 |
Phone Number: | 9144569637 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0532001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |