Katherine O'Neil Eden, MSW/P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005759 Issued in NC

Practice address

210 Cobble Ridge Dr
Chapel Hill, NC 27516-8082

Phone

(919) 960-3500

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Diane Katherine O'Neil Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Magnolia Therapy Services PLLC

  • Clinical Social Worker
  • Carrboro, NC
  • NPI 1972389914
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1689873986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COBBLE RIDGE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168082",
            "telephone_number": "919-960-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COBBLE RIDGE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168082",
            "telephone_number": "919-960-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "KATHERINE",
        "middle_name": "O'NEIL",
        "name_prefix": "Ms.",
        "credential": "MSW/P-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P003279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "O'NEIL",
            "middle_name": "KATHERINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edc Drug Stores Inc
• Moli Arin Eddins, NP
• Isaac Edelman-Munoz
• Steven H Edelman, MD
• Julia Katherine Eden, LCSWA
• Renee E Edkins, ANP-C
• Stewart Edmiston
• Shantavia Edmonds-Hart
• Rebecca Edmondson Pretzel, PHD
• Brittany Edmonson

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, 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 May 11, 2023; 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.