MEDICARE: ASHLEY MCNEELY

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
1	1041S0200X	School Social Worker	210235977	CA
2	101YS0200X	School Counselor	240235123	CA

General Provider Information

NPI Number	:	1730060781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MCNEELY

Provider Business Mailing Address
First Line	:	1420 FERN ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-1754
Country	:	US
Telephone Number	:	405-397-0827
Fax Number	:

Provider Business Practice Location Address
First Line	:	10170 HUENNEKENS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2964
Country	:	US
Telephone Number	:	858-676-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	10/13/2025

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Directions to “ ASHLEY MCNEELY ” Practice Location

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