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1659653905 NPI number — JESSICA TIANSHING O'NEILL MSW, LCSW

NPI Number: 1659653905
Health Care Provider/Practitioner: JESSICA TIANSHING O'NEILL MSW, LCSW

Information about “1659653905” NPI (JESSICA TIANSHING O'NEILL MSW, LCSW) exists in 1659653905 in HTML format HTML  |  1659653905 in plain Text format TXT  |  1659653905 in PDF (Portable Document Format) PDF  |  1659653905 in an XML format XML  formats.

NPI Number : 1659653905 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659653905",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'NEILL",
    "FirstName": "JESSICA",
    "MiddleName": "TIANSHING",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FRICK",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "T",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW,LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8362 SIX FORKS RD STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27615-5086",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-385-3685",
    "MailingAddressFaxNumber": "984-202-2222",
    "FirstLinePracticeLocationAddress": "8362 SIX FORKS RD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RALEIGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27615-5086",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-385-3685",
    "PracticeLocationAddressFaxNumber": "984-202-2222",
    "EnumerationDate": "09/13/2011",
    "LastUpdateDate": "01/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "C009588",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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