Provider Demographics
NPI:1114171287
Name:O'NEILL, DENISE KATHRYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KATHRYN
Last Name:O'NEILL
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 1:7925 SAINT IVES RD
Mailing Address - Street 2:APT. 4 E
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9464
Mailing Address - Country:US
Mailing Address - Phone:646-373-7792
Mailing Address - Fax:
Practice Address - Street 1:7925 ST. IVES RD
Practice Address - Street 2:APT. 4E
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:646-373-7792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR054617-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical