Randall O'Neill, MA, MAT, MSW, LSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1235940503
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1235940503
- Entity type
- Individual (NPI-1)
- Name
- Randall O'Neill
- Credential
- MA, MAT, MSW, LSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2025
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 150.113857 | IL | Yes |
Practice location
2835 N Sheffield Ave Fl 5Chicago, IL 60657-5081
Phone 773-888-2705
Mailing address
6422 N Claremont Ave Apt 2sChicago, IL 60645-5455
Phone 347-645-8310
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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