Provider Demographics
NPI:1508348137
Name:ONEILL, MARGARET M (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:ONEILL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LILLY HALL 23 WEST STREET LILLY HALL
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01063-0001
Mailing Address - Country:US
Mailing Address - Phone:917-922-8927
Mailing Address - Fax:
Practice Address - Street 1:64 KENSINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2920
Practice Address - Country:US
Practice Address - Phone:917-922-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120459-SW-LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical