Healthcare Provider Details

I. General information

NPI: 1417383258
Provider Name (Legal Business Name): SHEILA M O'NEILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BASIN CREEK RD
BUTTE MT
59701-9704
US

IV. Provider business mailing address

2085 BEACON RD
BUTTE MT
59701-9754
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-6314
  • Fax:
Mailing address:
  • Phone: 406-533-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4693
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: