Timothy O'Connor, L.C.S.W., P.A.

LBN: Timothy O'Connor, L.C.S.W., P.A.
Timothy O'Connor, L.C.S.W., P.A. is an health care organization with primary practice located at 1919 Ne 45Th St Ste 122 , Fort Lauderdale FL 33308-5135. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Timothy O'Connor, L.C.S.W., P.A. can be contacted via phone (954) 776-7176, or through O'Connor, Timothy Joseph via phone (954) 776-7176.

Contact Information

Primary practice address
1919 Ne 45Th St Ste 122 Fort Lauderdale FL 33308-5135
Fax: (954) 776-7160
Website:
Authorized official contact:
Name: O'Connor, Timothy Joseph Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X SW5622 Florida

Profile Details

NPI number 1821436130
LBN Legal business name Timothy O'Connor, L.C.S.W., P.A.
DBA Doing business as
Authorized official O'Connor, Timothy Joseph Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2013
Last updated Jun 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821436130 NPPES
Florida MEDICAID 7638663

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