Provider Demographics
NPI:1346632601
Name:O'NEAL, LAKEISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:LAKEISHA
Middle Name:
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 1:920 VENTURES WAY STE 5
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2883
Mailing Address - Country:US
Mailing Address - Phone:757-574-0207
Mailing Address - Fax:757-401-6567
Practice Address - Street 1:920 VENTURES WAY STE 5
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2883
Practice Address - Country:US
Practice Address - Phone:757-574-0207
Practice Address - Fax:757-889-3439
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040088281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical