Healthcare Provider Details

I. General information

NPI: 1285287375
Provider Name (Legal Business Name): KARINA EUGENIA MCNEIL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 KIRMAN AVE
RENO NV
89502-0993
US

IV. Provider business mailing address

350 CAPITOL HILL AVE
RENO NV
89502-2923
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-6600
  • Fax:
Mailing address:
  • Phone: 775-324-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7028-S
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: