| Oneill Counseling Services Llc | |
|
674 Prospect Ave Hartford CT 06105 | |
| (203) 690-7688 | |
| Not Available |
| Full Name | Oneill Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 674 Prospect Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Annette O'neill (OWNER/CLINICIAN) |
| Authorized Official Contact | 2038085237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneill Counseling Services Llc 674 Prospect Ave Hartford CT 06105-4288 Ph: (203) 690-7688 | Oneill Counseling Services Llc 674 Prospect Ave Hartford CT 06105 Ph: (203) 690-7688 |
| NPI Number | 1598264780 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 05/28/2022 |
| Certification Date | 05/28/2022 |
| Medicare PECOS PAC ID | 6901289578 |
|---|---|
| Medicare Enrollment ID | O20220815000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598264780 | NPI | - | NPPES |
| 1942681820 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Annette O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942681820 PECOS PAC ID: 6709142789 Enrollment ID: I20171107002552 |
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