Provider Demographics
NPI:1760055511
Name:O'HARA, SEAN PATRICK (LCSW)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:PATRICK
Last Name:O'HARA
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 1:8 MICHAELS WAY
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-2200
Mailing Address - Country:US
Mailing Address - Phone:516-547-7367
Mailing Address - Fax:
Practice Address - Street 1:8 MICHAELS WAY
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2200
Practice Address - Country:US
Practice Address - Phone:516-547-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0914231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical