MS. SUSAN B O'CONNELL (NPI# 1417046376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417046376 |
| Entity Type | Individual |
| Full Name | MS. SUSAN B O'CONNELL |
| Credential | MSW, LCSW |
| Practice Address |
166 E Geneva Sq Lake Geneva WI 53147-9694 |
| Mailing Address |
Po Box 634 East Troy WI 53120-0634 |
| Practice Telephone | 2622786146 |
| Mailing Telephone | 2622786146 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3011-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ANTHEM BLUE CROSS | 391657985019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443056 | Susan O'connell | Behavior Technician | 48 Marion Ave, Stony Brook, NY 11790-2404 | 2017-12-15 |
| 1922146067 | Susan B. O'connell | Counselor | 527 Romona Rd, Wilmette, IL 60091-2122 | 2007-02-01 |
| 1851614259 | Susan Brooke O'connell | Nurse Practitioner | 2623 E Allegheny Ave, Philadelphia, PA 19134-5131 | 2010-03-12 |
| 1629121769 | Susan K O'connell | Social Worker | 740 Main St, Suite 115, Waltham, MA 02451-0607 | 2007-01-20 |
| Street Address |
166 E GENEVA SQ |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033453030 | Jennifer Frye Keefe | Counselor | 166 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659868255 | Nicole Saldivar | Social Worker | W3782 Dahlia Dr, Lake Geneva, WI 53147-2824 | 2018-04-18 |
| 1467446989 | Craig Alan Luebke | Social Worker | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2005-09-12 |
| 1801026935 | Greentree Counseling LLC | Social Worker | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2009-07-23 |
| 1932317831 | Mervin J Langley | Social Worker | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-05-21 |
| 1275754921 | Lisa Ann Daujotas | Social Worker | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-05-01 |
| 1124057294 | Duanne Lafrenz | Social Worker | 101 Broad St, Suite 201, Lake Geneva, WI 53147-2000 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.