Individual provider Active NPI

Megan O'Neal, LCSW

  • Clinical Social Worker
  • San Tan Valley, AZ
National Provider Identifier
1770390874
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22693 Issued in AZ
Practice address
4426 W Pelotazo Way
San Tan Valley, AZ 85144-1380
Phone
(480) 304-1495
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 LCSW-22693 AZ Primary

Addresses

Primary practice location

4426 W Pelotazo Way
San Tan Valley, AZ 85144-1380

Mailing address

4426 W Pelotazo Way
San Tan Valley, AZ 85144-1380
Phone (480) 304-1495

Other practice location 1

15820 N 35th Ave
Phoenix, AZ 85053-7606
Phone (623) 698-7502

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
LCSW-22693AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1770390874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 W PELOTAZO WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851441380",
            "telephone_number": "480-304-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 W PELOTAZO WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851441380",
            "telephone_number": "480-304-1495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 N 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850537606",
            "country_code": "US",
            "telephone_number": "623-698-7502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.