Active NPI
Jamie A O'Neil, LCSW-R
- Clinical Social Worker
- Poughkeepsie, NY
National Provider Identifier
1427040344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 057851-1
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601-1328 - Phone
- (845) 486-2703
- Fax
- (845) 486-2865
- NPI assigned
- Aug 17, 2005
- 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 | 057851-1 | NY | Primary |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601-1328
Mailing address
29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone (845) 452-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057851-1 | Other | NY | LCSW-R LICENSE |
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057851-1 | NY | MD | Clinical Social Worker |
| 070095 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Mental Health, Inc. | Clinical | Past | Accepting new patients |
| Family Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
Clinical
-
- Clinical Social Worker
- Poughkeepsie, NY
- NPI 1356393862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1427040344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N HAMILTON ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012541",
"telephone_number": "845-452-1110",
"fax_number": "845-452-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011328",
"telephone_number": "845-486-2703",
"fax_number": "845-486-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL",
"first_name": "JAMIE",
"middle_name": "A",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "057851-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW-R LICENSE",
"identifier": "057851-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.