National Provider Identifier
Marissa O'Connor
Marissa O'Connor is listed in the NPPES registry with a primary specialty of Social Worker in Deer Park, NY and a listed phone number of (516) 361-3576.
Source: public NPPES record, last updated October 16, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1386286896
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- October 16, 2019
- Last Updated
- October 16, 2019
Practice Location
- 770 Grand Blvd Ste 17
- Deer Park, NY 11729-5725
Phone: (516) 361-3576
Mailing Address
- 30 Tremont RD
- Lindenhurst, NY 11757-1734
Specialties
- Social Worker (104100000X)
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Biography
Marissa Grace O’Connor is a New York Licensed Clinical Social Worker serving the Deer Park area. NYSED’s primary-source verification lists her LCSW license as issued in March 2021, providing a stronger credential basis than general directory listings.
Full Record
- NPI
- 1386286896
- Entity Type
- Individual
- Last Name
- O'Connor
- First Name
- Marissa
- Mailing Street Address
- 30 Tremont RD
- Mailing City
- Lindenhurst
- Mailing State
- NY
- Mailing ZIP Code
- 11757-1734
- Mailing Country
- US
- Mailing Phone
- (516) 361-3576
- Practice Street Address
- 770 Grand Blvd Ste 17
- Practice City
- Deer Park
- Practice State
- NY
- Practice ZIP Code
- 11729-5725
- Practice Country
- US
- Practice Phone
- (516) 361-3576
- Practice Fax
- (631) 392-4358
- Enumeration Date
- October 16, 2019
- Last Updated
- October 16, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Social Worker (104100000X)