Individual provider Active NPI

Michael Jerome O'Neill, LCSW

  • Clinical Social Worker
  • Greenbrae, CA
National Provider Identifier
1225431349
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW130166 Issued in CA
Practice address
250 Bon Air Rd Unit B
Greenbrae, CA 94904-1702
Phone
(415) 473-6829
Fax
(415) 473-4113
NPI assigned
Oct 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 130166 CA
Clinical Social Worker 1041C0700X LCSW130166 CA Primary

Addresses

Primary practice location

250 Bon Air Rd Unit B
Greenbrae, CA 94904-1702

Mailing address

375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (628) 217-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612003507 CA Practitioner - Clinical Social Worker 1951812411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-2305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW130166CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Multi-Specialty Current Accepting new patients
City & County of San Francisco Multi-Specialty CurrentSince May 12, 2025 Accepting new patients
City and County of San Francisco CurrentSince May 12, 2025 Accepting new patients

Locations

375 Laguna Honda Blvd
#B200
San Francisco, CA 94116
Phone (415) 759-3348

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1225431349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LAGUNA HONDA BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161411",
            "telephone_number": "628-217-7341",
            "fax_number": "415-759-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD UNIT B",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-473-6829",
            "fax_number": "415-473-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MICHAEL",
        "middle_name": "JEROME",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130166",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW130166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.