Individual provider Active NPI

Bronwyn Ellen Oneil, M.S,L.C.S.W.

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1912440314
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039024-1 Issued in NY
Practice address
50 Upper Montclair PLZ
Montclair, NJ 07043-1320
Phone
(973) 783-3838
Fax
(973) 783-9185
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05207700 NJ
Clinical Social Worker 1041C0700X R039024-1 NY Primary

Addresses

Primary practice location

50 Upper Montclair PLZ
Montclair, NJ 07043-1320

Mailing address

208 Inwood Ave
Montclair, NJ 07043-1947
Phone (973) 509-7079

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 28, 2018 through Oct 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
44SC05207700NJMDClinical Social Worker
R039024-1NYMDClinical Social Worker
039024NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1912440314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 INWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431947",
            "telephone_number": "973-509-7079",
            "fax_number": "973-783-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UPPER MONTCLAIR PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431320",
            "telephone_number": "973-783-3838",
            "fax_number": "973-783-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "BRONWYN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S,L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05207700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039024-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.