=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538911227
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE LYNN O'NEILL MSW, LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2024
-----------------------------------------------------
Last Update Date | 04/04/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 W COMMONS BLVD
-----------------------------------------------------
City | NEW CASTLE
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19720-2419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-722-9483
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 332 SUNNYSIDE LN
-----------------------------------------------------
City | TOWNSEND
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19734-9044
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-584-8249
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | Q3-0010785
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------