Individual provider Active NPI

Kevin O'Neill, LCSW, LCADC

  • Clinical Social Worker
  • Allentown, NJ
National Provider Identifier
1245440122
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00298400 Issued in NJ
Practice address
5 Greenfield Dr
Allentown, NJ 08501-1636
Phone
(609) 259-5943
NPI assigned
May 22, 2007
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00298400 NJ Primary

Addresses

Primary practice location

5 Greenfield Dr
Allentown, NJ 08501-1636

Mailing address

5 Greenfield Dr
Allentown, NJ 08501-1636
Phone (609) 610-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250603000980 NJ Practitioner - Clinical Social Worker 5294244125 Practice locations: Allentown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Greenfield Dr
Allentown, NJ 08501-1636
Phone (609) 610-6051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00298400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1245440122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREENFIELD DR",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011636",
            "telephone_number": "609-610-6051",
            "fax_number": "973-232-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREENFIELD DR",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011636",
            "telephone_number": "609-259-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00298400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, NJ

Sources for this page

Verify at the official NPI Registry.