Provider Demographics
NPI:1750715579
Name:O'NEILL, MICHELE GARCEAU (LICSW)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:GARCEAU
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:GARCEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 UPPER HAMPDEN RD
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-9737
Mailing Address - Country:US
Mailing Address - Phone:413-563-1454
Mailing Address - Fax:
Practice Address - Street 1:24 UPPER HAMPDEN RD
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-9737
Practice Address - Country:US
Practice Address - Phone:413-563-1454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
MA1216961041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker