Provider Demographics
NPI:1699811851
Name:O'NEIL, ANGELA M (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VILLAGE INN RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1660
Mailing Address - Country:US
Mailing Address - Phone:978-771-5407
Mailing Address - Fax:888-868-6092
Practice Address - Street 1:23 VILLAGE INN RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1660
Practice Address - Country:US
Practice Address - Phone:978-771-5407
Practice Address - Fax:888-868-6092
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1133361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical