Provider Demographics
NPI:1689873986
Name:EDEN, KATHERINE O'NEIL (MSW/P-LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:O'NEIL
Last Name:EDEN
Suffix:
Gender:F
Credentials:MSW/P-LCSW
Other - Prefix:MISS
Other - First Name:DIANE
Other - Middle Name:KATHERINE
Other - Last Name:O'NEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 COBBLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8082
Mailing Address - Country:US
Mailing Address - Phone:919-960-3500
Mailing Address - Fax:
Practice Address - Street 1:210 COBBLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8082
Practice Address - Country:US
Practice Address - Phone:919-960-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0032791041C0700X
NCC0057591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical