Provider Demographics
NPI:1952611030
Name:ONEAL, PAULETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:ONEAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 SNOWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2868
Mailing Address - Country:US
Mailing Address - Phone:609-394-5157
Mailing Address - Fax:609-394-3010
Practice Address - Street 1:39 N CLINTON AVE FL 3
Practice Address - Street 2:CATHOLIC CHARITIES, FAMILY GROWTH PROGRAM
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609-1011
Practice Address - Country:US
Practice Address - Phone:609-394-5157
Practice Address - Fax:609-394-5157
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical