Individual provider Active NPI

John Calvin O'Neil Jr., LCSW, LADC

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1457167769
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012916 Issued in CT
Practice address
86 Cherry St FL 2
Milford, CT 06460-3413
Phone
(203) 249-7837
NPI assigned
Dec 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0136543TELE VT
Addiction (Substance Use Disorder) Counselor 101YA0400X 001419 CT
Clinical Social Worker 1041C0700X 012916 CT Primary

Addresses

Primary practice location

86 Cherry St FL 2
Milford, CT 06460-3413

Mailing address

86 Cherry St FL 2
Milford, CT 06460-3413
Phone (203) 249-7837

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

LicenseStateTypeSpecialty
012916CTMDClinical Social Worker
089.0136543TELEVTMDClinical Social Worker
001419CTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1457167769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CHERRY ST FL 2",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603413",
            "telephone_number": "203-249-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CHERRY ST FL 2",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603413",
            "telephone_number": "203-249-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "JOHN",
        "middle_name": "CALVIN",
        "name_suffix": "Jr.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136543TELE",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.