Diane O'Neill Lisw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9672 Issued in SC

Legal business name

DIANE O'NEILL LISW LLC

Practice address

852 Gold Hill Rd
Suite 206
Fort Mill, SC 29708-7976

Phone

(803) 619-9103

Fax

(866) 585-6452

NPI assigned

Jun 3, 2012

Last updated

Jun 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane O'Neill, LISWNPI 1952432908

Title

Sole Member/Manager

Phone

(803) 619-9103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane W O'Neill

  • Clinical Social Worker
  • East Greenwich, RI
  • NPI 1952432908

  SC

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338681600000",
    "number": "1003177395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 GOLD HILL RD",
            "address_2": "SUITE 206",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087976",
            "telephone_number": "803-619-9103",
            "fax_number": "866-585-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 GOLD HILL RD",
            "address_2": "SUITE 206",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087976",
            "telephone_number": "803-619-9103",
            "fax_number": "866-585-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE O'NEILL LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-03",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "803-619-9103",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandes Dey, DPT
• Diabetes Endocrinology & Metabolism Associates, PA
• Bennie Gloria Diamond, MD
• Jennifer C Dickens, MD
• Donna Gail Diedrich, PHYSICAL THERAPIST
• Kim Dixon, RN
• Ivana Djordjevic Brooks
• DME of the Carolinas LLC

• Clinical Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.