Individual
CAROLYN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3209 3RD AVE, BRONX, NY 10451-4203
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
093169-1
NY
1041C0700X
Clinical Social Worker
Primary
089075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093169-1
LICENSE
NY
Enumeration date
10/21/2014
Last updated
01/30/2020
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