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NPI Code Detail

MEDICARE: DANIEL ERIC MCNEELY LCSW

MEDICARE: DANIEL ERIC MCNEELY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34003338AIN
2101YM0800XMental Health Counselor34003338AIN

General Provider Information

NPI Number : 1598749780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ERIC MCNEELY LCSW
Provider Business Mailing Address
First Line : 645 S ROGERS ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-2353
Country : US
Telephone Number : 812-339-1691
Fax Number : 812-339-8109
Provider Business Practice Location Address
First Line : 645 S ROGERS ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-2353
Country : US
Telephone Number : 812-339-1691
Fax Number : 812-339-8109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 04/29/2009

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Directions to “ DANIEL ERIC MCNEELY LCSW” Practice Location

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