Active NPI
Bronwyn Ellen Oneil, M.S,L.C.S.W.
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1912440314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R039024-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05207700 | NJ | MD | Clinical Social Worker |
| R039024-1 | NY | MD | Clinical Social Worker |
| 039024 | NY | MD | Pharmacist |
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
- Carole A Oliver, LPC
- Iyinoluwa Oluwatola, LCSW, LCADC
- Omoy Omari, SLP
- One Oak Medical Group, LLC
- One-Self Health and Wellness, Inc.
- Christine Marie Onorati, LCSW
- Rose Oosting, PHD
- Ophthalmology of Montclair Limited Liability Company
- Optima Medical Rehabilitation P a.
- Optimum Orthopedics Physical Therapy & Rehab Center II LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.