Look up the most recent NPI and PECOS records

Maureen O'Connor

Social Worker

Behavioral Health & Social Service Providers

38882 Mentor Ave, Willoughby, OH 44094-7875

PECOS Enrollment

Based on the most recent information from CMS, provider Maureen O'Connor is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1063909992
Provider Type
Individual
Full Name
O'Connor, Maureen
Credential
LISW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2018
Last Updated
8/22/2024

Contact Information

Practice Location

38882 Mentor Ave, Willoughby, OH 44094-7875

(440) 953-9999

Unlisted Fax

Mailing Location

38882 Mentor Ave, Willoughby, OH 44094-7875

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.1901861 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0278857	Description Medicaid	Issuer Unlisted Ohio

Maureen O'Connor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Griggs, Carolyn

Djukic, Craig

Mcknight, Peggy Sue

Roppel, Brittany

Kupersmith, Glenda J.

Cowles, Kimberly

Wayant, Anne

Imbrogno, Jamiee K

C & D Coaching & Consulting

Walter, Jennifer Rose