Individual provider Active NPI

Anne Marie Lauretta O'Neill, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1821113259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0042691 Issued in NY
Practice address
1890 Palmer Ave
Larchmont, NY 10538-3059
Phone
(914) 833-3468
Fax
(914) 833-3468
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0042691 NY Primary

Addresses

Primary practice location

1890 Palmer Ave
Larchmont, NY 10538-3059

Mailing address

1890 Palmer Ave
Larchmont, NY 10538-3059
Phone (914) 833-3468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20140904000425 NY Practitioner - Clinical Social Worker 2163640194 Practice locations: Larchmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 N Chatsworth Ave
Suite 1L
Larchmont, NY 10538-1954
Phone (914) 833-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0042691NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821113259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383059",
            "telephone_number": "914-833-3468",
            "fax_number": "914-833-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383059",
            "telephone_number": "914-833-3468",
            "fax_number": "914-833-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ANNE MARIE",
        "middle_name": "LAURETTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0042691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.