MEDICARE: VANITA O'NEAL 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	129121	CA
2	1041C0700X	Clinical Social Worker	115759	TX
3	1041C0700X	Clinical Social Worker	2507238	OH

General Provider Information

NPI Number	:	1770802720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANITA O'NEAL LCSW

Provider Business Mailing Address
First Line	:	2009 CARIBOU TRL
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-5633
Country	:	US
Telephone Number	:	702-334-1842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 CARIBOU TRAIL
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548
Country	:	US
Telephone Number	:	702-334-1842
Fax Number	:

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

Provider Enumeration Date	:	05/28/2010
Last Update Date	:	02/24/2026

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Directions to “ VANITA O'NEAL LCSW” Practice Location

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