Colin Patrick O'Neill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023715 Issued in PA

Practice address

2901 Island Ave
Philadelphia, PA 19153-3013

Phone

(267) 713-4100

NPI assigned

Jun 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1184309494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533013",
            "telephone_number": "267-713-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533013",
            "telephone_number": "267-713-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "COLIN",
        "middle_name": "PATRICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Noelle O'Neill, MS
• Amaryllis O'Neill
• Blake O'Neill, DO
• Caitlin O'Neill
• Christopher Michael O'Neill, PHARMD
• Derek David O'Neill
• Erin Ann O'Neill
• Gerald M O'Neill, MD
• Jeffrey Keith O'Neill, DPT
• John Paul O'Neill, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.