Provider Demographics
NPI:1649374034
Name:O'NEIL, MARCIE LYNN (MSW, LISW-S)
Entity type:Individual
Prefix:MS
First Name:MARCIE
Middle Name:LYNN
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10495 MONTGOMERY RD. #28
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242
Mailing Address - Country:US
Mailing Address - Phone:513-984-2333
Mailing Address - Fax:513-984-8333
Practice Address - Street 1:10495 MONTGOMERY RD. #28
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-984-2333
Practice Address - Fax:513-984-8333
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00056331041C0700X
OHI5633104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker