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NPI Code Detail

MEDICARE: CASEY O'NEAL LSW

MEDICARE: CASEY O'NEAL LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150.118518IL

General Provider Information

NPI Number : 1164379772
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY O'NEAL LSW
Provider Business Mailing Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-647-4124
Fax Number :
Provider Business Practice Location Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-647-4124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ CASEY O'NEAL LSW” Practice Location

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