Provider Demographics
NPI:1801060249
Name:O'NEAL, JOHN WILLIAM (LCSW, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:O'NEAL
Suffix:
Gender:M
Credentials:LCSW, LPC, NCC
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 1536
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-1536
Mailing Address - Country:US
Mailing Address - Phone:828-557-4215
Mailing Address - Fax:888-776-6789
Practice Address - Street 1:1091 HIGHWAY 64 W STE 1
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-9657
Practice Address - Country:US
Practice Address - Phone:828-557-4215
Practice Address - Fax:888-776-6789
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0094441041C0700X, 1041C0700X
NC8807101YP2500X
GA2970104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003138061AMedicaid
NC6104983Medicaid