Edward McNichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019489 Issued in PA

Practice address

2071 Antioch CT Ste 201
Oakland, CA 94611-2955

Phone

(570) 470-2981

Fax

(570) 504-0861

NPI assigned

May 11, 2017

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

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1356877229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 CORDOVA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022106",
            "telephone_number": "570-470-2981",
            "fax_number": "570-212-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 ANTIOCH CT STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112955",
            "telephone_number": "570-470-2981",
            "fax_number": "570-504-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019489",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW109626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Vernette McNeally
• Enav McNeil, FNP
• Toiansanita McNeil
• Caroline McNeill
• Roselle McNeilly, LAC
• Bridget McQueen
• Sabrina Marie McQueen, PHARM.D.
• Toska Isa McQueen
• Adora McQuinn
• Eva Allison McRae

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.