Cornelia Ann O'Marra, LCSW
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1730278672
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1730278672
- Entity type
- Individual (NPI-1)
- Name
- Cornelia Ann O'Marra
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW640 | ID | Yes |
Practice location
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-768-1890
Mailing address
1027 E Fairmount AvePhoenix, AZ 85014-4806
Phone 602-263-1518
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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