Healthcare Provider Details

I. General information

NPI: 1497692172
Provider Name (Legal Business Name): SHERIDAN ONEAL LICENSED CLINICAL SOCIAL WORKER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8335 W SUNSET BLVD STE 344
LOS ANGELES CA
90069-1554
US

IV. Provider business mailing address

8335 W SUNSET BLVD STE 344
LOS ANGELES CA
90069-1554
US

V. Phone/Fax

Practice location:
  • Phone: 323-240-0574
  • Fax:
Mailing address:
  • Phone: 323-240-0574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHERIDAN NOLAN GODFREY O'NEAL
Title or Position: OWNER
Credential: LCSW
Phone: 323-240-0574