Individual provider Active NPI

Peter William O'Neil, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1821170036
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
138232-3501 Issued in UT
Practice address
4155 Harrison Blvd
Suite 200
Ogden, UT 84403-2463
Phone
(801) 690-1142
Fax
(801) 771-0203
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 138232-3501 UT Primary

Addresses

Primary practice location

4155 Harrison Blvd
Suite 200
Ogden, UT 84403-2463

Mailing address

4155 Harrison Blvd
Suite 200
Ogden, UT 84403-2463
Phone (801) 690-1142

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
138232-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821170036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 HARRISON BLVD",
            "address_2": "SUITE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032463",
            "telephone_number": "801-690-1142",
            "fax_number": "801-771-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 HARRISON BLVD",
            "address_2": "SUITE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032463",
            "telephone_number": "801-690-1142",
            "fax_number": "801-771-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "138232-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.