MEDICARE: MICHELE GARCEAU O'NEILL LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	121696	MA
2	104100000X	Social Worker	121696	MA
3	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1750715579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE GARCEAU O'NEILL LICSW

Provider Business Mailing Address
First Line	:	PO BOX 35
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-0035
Country	:	US
Telephone Number	:	413-372-1959
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 POST OFFICE PARK STE 9511
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1199
Country	:	US
Telephone Number	:	413-372-1959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	09/16/2025

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