DIANE O'NEILL LISW LLC
NPI 1003177395
Social Worker - Clinical in Fort Mill, SC

Active since June 03, 2012
852 GOLD HILL RD, SUITE 206, FORT MILL, SC 29708(803) 619-9103(866) 585-6452 Get Directions Write a Review

NPPES record last updated: June 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane O'neill Lisw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE O'NEILL LISW LLC (NPI 1003177395) is a healthcare organization registered as a clinical in Fort Mill, South Carolina and active in the NPI registry since June 2012. The organization lists Diane O'neill, Sole Member/manager, as its authorized official.

NPPES Registry Identity

NPI1003177395
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDIANE O'NEILL LISW LLC
Location Address852 GOLD HILL RD, SUITE 206Fort Mill, SC 29708-7976
Mailing Address852 Gold Hill Rd, Suite 206Fort Mill, SC 29708-7976 · (803) 619-9103 · Fax (866) 585-6452
Fax(866) 585-6452
Organization SubpartNo
Authorized OfficialDiane O'neillSole Member/manager · (803) 619-9103
Enumeration DateJune 3, 2012
✔ NPI 1003177395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 9672
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
852 GOLD HILL RD, Fort Mill, SC 29708

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane O'neill Lisw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diane O'neill Lisw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1952432908
2843 SOUTH COUNTY TRAIL
East Greenwich, RI 02818
(401) 743-2007
✔ PECOS✔ Accepts Medicare684 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane O'neill Lisw LLC's NPI number?

The NPI number for Diane O'neill Lisw LLC is 1003177395. It was assigned to this organization in the NPPES registry on June 3, 2012.

Where is Diane O'neill Lisw LLC located?

Diane O'neill Lisw LLC is located at 852 Gold Hill Rd Suite 206, Fort Mill, SC 29708. The listed phone number is (803) 619-9103.

What is Diane O'neill Lisw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diane O'neill Lisw LLC enrolled in Medicare?

Yes. Diane O'neill Lisw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diane O'neill Lisw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Diane O'neill Lisw LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diane O'neill Lisw LLC was last updated on June 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.