Provider Demographics
NPI:1902871635
Name:O'NEIL, CHRISTINA FRANCIS (LSCSW, LCSW, LCAC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FRANCIS
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:LSCSW, LCSW, LCAC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:F
Other - Last Name:RACCAGNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10551 BARKLEY ST STE 512
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1813
Mailing Address - Country:US
Mailing Address - Phone:816-590-0206
Mailing Address - Fax:913-317-8193
Practice Address - Street 1:10551 BARKLEY
Practice Address - Street 2:SUITE 512
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212
Practice Address - Country:US
Practice Address - Phone:816-590-0206
Practice Address - Fax:913-317-8193
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010163071041C0700X
KS19511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKABH134960Medicaid