Provider Demographics
NPI:1235650862
Name:O'CONNOR, APARNA GUPTA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:GUPTA
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:APARNA
Other - Middle Name:GUPTA
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:2616 CHAPEL LAKE DRIVE STE B PMB 1131
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1415
Mailing Address - Country:US
Mailing Address - Phone:443-317-9246
Mailing Address - Fax:
Practice Address - Street 1:2616 CHAPEL LAKE DR STE B
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1637
Practice Address - Country:US
Practice Address - Phone:443-317-9246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD222811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical