Jessica Tianshing O'Neill, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009588 Issued in NC

Practice address

8362 Six Forks Rd Ste 102
Raleigh, NC 27615-5086

Phone

(207) 385-3685

Fax

(984) 202-2222

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica T Frick Former name

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Purple Phoenix Counseling

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1972373884
  NPD Authorized official
• New Leaf Behavioral Health

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1508042003

  Mental Health

  NPD (past)
• New Leaf Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1720313778
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1659653905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155086",
            "telephone_number": "207-385-3685",
            "fax_number": "984-202-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155086",
            "telephone_number": "207-385-3685",
            "fax_number": "984-202-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JESSICA",
        "middle_name": "TIANSHING",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FRICK",
            "middle_name": "T",
            "credential": "MSW,LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Timothy O'Neil Jr., M.D.
• Alyson O'Neill
• Eric O'Neill
• Harper O'Neill, MS
• Jamie O'Neill, PHARM. D.
• Anna Brooke O'Quinn, LCSWA
• Heather O'Quinn, LCMHCA
• Janathea Marie O'Regan, PA
• Katherine Doerr O'Rourke, M.D.
• Patrick Michael O'Shea, M.D., M.B.A.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.