Individual
MRS. GLINDA VANESSA O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3300 ACADEMY AVENUE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
3300 ACADEMY AVENUE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904006678
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803865M
OPTIMA
—
05
—
1558548651
—
VA
01
—
352987
ANTHEM
—
Enumeration date
01/31/2008
Last updated
07/06/2020
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