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

Timothy J O'Connor, LCSW

Individual provider Clinical Social Worker · NPI 1124155726

Timothy J O'Connor, LCSW is a Clinical Social Worker in Lauderdale Lakes, Florida. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4720 N State Road 7 Bldg B
Lauderdale Lakes, FL 33319-5860
Phone: (954) 497-3850
Fax: (954) 497-3857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW5622 (FL)

Record details

NPI number1124155726
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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