Provider Demographics
NPI:1659354496
Name:O'NEAL, SCOTT ANTHONY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ANTHONY
Last Name:O'NEAL
Suffix:
Gender:M
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:PO BOX 10833
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-0833
Mailing Address - Country:US
Mailing Address - Phone:808-382-3881
Mailing Address - Fax:808-841-4488
Practice Address - Street 1:1481 S KING ST
Practice Address - Street 2:SUITE 544
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2601
Practice Address - Country:US
Practice Address - Phone:808-382-3881
Practice Address - Fax:808-841-4488
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-32311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000251686OtherHMSA PPO/65C
HI53222701Medicaid
HI100382Medicare UPIN