Active NPI
Laura O'Neil, L.I.C.S.W.
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1346217494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110494
- Practice address
- 93 Spring St
New Bedford, MA 02740-5938 - Phone
- (508) 971-0284
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110494 | MA | Primary |
Addresses
Primary practice location
93 Spring St
New Bedford, MA 02740-5938
Mailing address
475 Rock Odundee Rd
South Dartmouth, MA 02748-1435
Phone (508) 994-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO8675 | Other | MA | BCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110494 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346217494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ROCK ODUNDEE RD",
"city": "SOUTH DARTMOUTH",
"state": "MA",
"postal_code": "027481435",
"telephone_number": "508-994-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 SPRING ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027405938",
"telephone_number": "508-971-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL",
"first_name": "LAURA",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PO8675",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.