Provider Demographics
NPI:1164664694
Name:O'NEIL, HEATHER L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:O'NEIL
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 1:1624 VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1118
Mailing Address - Country:US
Mailing Address - Phone:720-363-5793
Mailing Address - Fax:720-836-3146
Practice Address - Street 1:1890 GAYLORD ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1211
Practice Address - Country:US
Practice Address - Phone:720-363-5793
Practice Address - Fax:303-322-3423
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9923311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical