Individual provider Active NPI

Tamara J O'Neal, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1871211094
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62449 Issued in TX
Practice address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Phone
(325) 944-2561
Fax
(325) 653-4218
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 62449 TX Primary

Addresses

Primary practice location

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433

Mailing address

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Phone (325) 944-2561

Other identifiers 1

IdentifierTypeStateIssuer
62449OtherTXLICENSE

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62449TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Clinical CurrentSince Oct 27, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1871211094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "TAMARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "62449",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.