Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Oconnell

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710365192

Kathleen Oconnell is a Clinical Social Worker in Roxboro, North Carolina. Qualified in 2014, 12 years ago. Practices with Mona R Gupta DO Incorporated, a 26-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

355 S Madison Blvd Ste C
Roxboro, NC 27573
Phone: (336) 599-8366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A11057 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20850 (NC)

Record details

NPI number1710365192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESSeptember 4, 2018
Mailing address355 S Madison Blvd Ste C, Roxboro, NC 27573-5485

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mona R Gupta Do Incorporated — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roxboro