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General NPI Number Information
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NPI Number | 1609897255
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Entity Type | Individual
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Provider Name | BERNADETTE M O'NEIL LICSW,LADC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 127 W SPRING ST
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City | WINOOSKI
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State | VT
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Zip | 05404-1936
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Country | US
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Telephone | 802-316-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 326 NORTHVIEW CT
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City | WILLISTON
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State | VT
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Zip | 05495-7353
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Country | US
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Telephone | 802-879-6030
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000279
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License Number State | VT
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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 | 089-0000449
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License Number State | VT
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