Individual provider Active NPI

Maribeth Oneil, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1275627499
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006517 Issued in IL
Practice address
4452 N Greenview Ave
Chicago, IL 60640-5904
Phone
(847) 570-0150
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 149006517 IL Primary

Addresses

Primary practice location

4452 N Greenview Ave
Chicago, IL 60640-5904

Mailing address

4250 N Marine Dr
Apt 804
Chicago, IL 60613-1724
Phone (773) 230-7811

Other identifiers 1

IdentifierTypeStateIssuer
320021833OtherILFEDERAL TAX I.D. NUMBER

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1275627499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR",
            "address_2": "APT 804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131724",
            "telephone_number": "773-230-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 N GREENVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405904",
            "telephone_number": "847-570-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "MARIBETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D. NUMBER",
            "identifier": "320021833",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.