MEDICARE: MRS. NANCY O'NEILL LCSW

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
1	1041C0700X	Clinical Social Worker	0904003528	VA

General Provider Information

NPI Number	:	1649293275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY O'NEILL LCSW

Provider Business Mailing Address
First Line	:	6604 GREENVIEW LN
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-2922
Country	:	US
Telephone Number	:	703-569-3677
Fax Number	:

Provider Business Practice Location Address
First Line	:	8348 TRAFORD LN
Second Line	:	SUITE 400
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1663
Country	:	US
Telephone Number	:	703-866-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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