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NPI Code Detail

MEDICARE: MRS. RAQUEL O'NEILL MSW, LCSW

MEDICARE: MRS. RAQUEL O'NEILL MSW, 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
11041C0700XClinical Social Worker8231-CNV

General Provider Information

NPI Number : 1912357047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RAQUEL O'NEILL MSW, LCSW
Provider Business Mailing Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number : 702-437-4673
Fax Number :
Provider Business Practice Location Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number : 702-437-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 02/14/2024

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