Individual provider Active NPI

Siobhan Ann O'Neil, LSW

  • Social Worker
  • Hasbrouck Heights, NJ
National Provider Identifier
1033750690
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06508000 Issued in NJ
Practice address
611 Route 46 West
Suite 100
Hasbrouck Heights, NJ 07604-0760
Phone
(201) 265-8200
Fax
(201) 478-4185
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06508000 NJ Primary

Addresses

Primary practice location

611 Route 46 West
Suite 100
Hasbrouck Heights, NJ 07604-0760

Mailing address

78 Laurelhurst Drive
Cliffwood Beach, NJ 07735
Phone (908) 601-0299

Other practice location 1

610 Valley Health Plz
Paramus, NJ 07652-3607
Phone (201) 265-8200 ext. 5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06508000NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1033750690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LAURELHURST DRIVE",
            "city": "CLIFFWOOD BEACH",
            "state": "NJ",
            "postal_code": "07735",
            "telephone_number": "908-601-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROUTE 46 WEST",
            "address_2": "SUITE 100",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076040760",
            "telephone_number": "201-265-8200",
            "fax_number": "201-478-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Valley Health Plz",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523607",
            "country_code": "US",
            "telephone_number": "201-265-8200 x5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "SIOBHAN",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06508000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.