Provider Demographics
NPI:1518852102
Name:O'CONNELL, ANDREA JEANNE (PLMSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:JEANNE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:PLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 TATER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-9634
Mailing Address - Country:US
Mailing Address - Phone:860-681-5402
Mailing Address - Fax:
Practice Address - Street 1:505 S ELM ST STE B
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6604
Practice Address - Country:US
Practice Address - Phone:501-232-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPLMSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical