Provider Demographics
NPI:1154668218
Name:O'CONNELL, DANIEL JAMES KEEGAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES KEEGAN
Last Name:O'CONNELL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10921 ARNDT RD NE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OR
Mailing Address - Zip Code:97002-8613
Mailing Address - Country:US
Mailing Address - Phone:310-745-0963
Mailing Address - Fax:
Practice Address - Street 1:10921 ARNDT RD NE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OR
Practice Address - Zip Code:97002-8613
Practice Address - Country:US
Practice Address - Phone:971-298-3175
Practice Address - Fax:971-231-2528
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL148021041C0700X
CALCSW810741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical