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General NPI Number Information
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NPI Number | 1225431349
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Entity Type | Individual
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Provider Name | MICHAEL JEROME O'NEILL LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 250 BON AIR RD UNIT B
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City | GREENBRAE
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State | CA
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Zip | 94904-1702
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Country | US
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Telephone | 415-473-6829
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Fax | 415-473-4113
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Provider Business Mailing Address
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Address Line | 375 LAGUNA HONDA BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1411
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Country | US
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Telephone | 628-217-7341
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Fax | 415-759-3509
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 130166
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW130166
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License Number State | CA
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