Individual provider Active NPI

John Charles O'Neill, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1376978353
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007770 Issued in WA
Practice address
7 S Howard St
Suite 321
Spokane, WA 99201-3821
Phone
(509) 838-4128
Fax
(509) 838-4816
NPI assigned
Sep 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 LW00007770 WA Primary

Addresses

Primary practice location

7 S Howard St
Suite 321
Spokane, WA 99201-3821

Mailing address

7 S Howard St
Suite 321
Spokane, WA 99201-3821
Phone (509) 838-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1376978353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S HOWARD ST",
            "address_2": "SUITE 321",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013821",
            "telephone_number": "509-838-4128",
            "fax_number": "509-838-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S HOWARD ST",
            "address_2": "SUITE 321",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013821",
            "telephone_number": "509-838-4128",
            "fax_number": "509-838-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.