Provider Demographics
NPI:1033414941
Name:O'NEAL, LAURA JEANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JEANNE
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W BRAMBLETON AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1505
Mailing Address - Country:US
Mailing Address - Phone:757-646-5195
Mailing Address - Fax:775-403-2246
Practice Address - Street 1:250 W BRAMBLETON AVE
Practice Address - Street 2:STE 101
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510
Practice Address - Country:US
Practice Address - Phone:757-646-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA090400069051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical