Healthcare Provider Details

I. General information

NPI: 1538911227
Provider Name (Legal Business Name): JULIE LYNN O'NEILL MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COMMERCE DR STE 100
NEWARK DE
19713-2850
US

IV. Provider business mailing address

100 COMMERCE DR STE 100
NEWARK DE
19713-2850
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberQ3-0010785
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: