Eric O'Neill

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010367 Issued in NC

Practice address

1013 Bullard CT
Ste 102
Raleigh, NC 27615-6801

Phone

(919) 759-6659

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Purple Phoenix Counseling

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1972373884
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1306109178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BULLARD CT",
            "address_2": "STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156801",
            "telephone_number": "919-759-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BULLARD CT",
            "address_2": "STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156801",
            "telephone_number": "919-759-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline O'Meara Francisco, AGNP
• Verrone O'Neal Sr.
• O'Neal'S Caring Home
• James Timothy O'Neil Jr., M.D.
• Alyson O'Neill
• Harper O'Neill, MS
• Jamie O'Neill, PHARM. D.
• Jessica Tianshing O'Neill, MSW, LCSW
• Anna Brooke O'Quinn, LCSWA
• Heather O'Quinn, LCMHCA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.