Healthcare Provider Details

I. General information

NPI: 1669297909
Provider Name (Legal Business Name): BRITTNEY O'NEAL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 11/23/2024
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 W LOMBARD ST
BALTIMORE MD
21201-1009
US

IV. Provider business mailing address

2907 FALLSTAFF RD APT 27
BALTIMORE MD
21209-3591
US

V. Phone/Fax

Practice location:
  • Phone: 917-593-4553
  • Fax:
Mailing address:
  • Phone: 917-593-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number109363
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number32525
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: