=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609784842
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALYSON ELIZABETH O'NEILL LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2026
-----------------------------------------------------
Last Update Date | 08/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14 RIDGEDALE AVE STE 207
-----------------------------------------------------
City | CEDAR KNOLLS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07927-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-677-8420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14 RIDGEDALE AVE STE 207
-----------------------------------------------------
City | CEDAR KNOLLS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07927-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-677-8420
-----------------------------------------------------
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 | 44SL07518000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------