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NPI Code Detail

MEDICARE: MICHAEL ROBERT MCNEIL LCSW

MEDICARE: MICHAEL ROBERT MCNEIL 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 Worker41842TX
21041C0700XClinical Social Worker1781LA

General Provider Information

NPI Number : 1861590473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROBERT MCNEIL LCSW
Provider Business Mailing Address
First Line : 4 MARYLAND DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-1027
Country : US
Telephone Number : 504-884-7560
Fax Number : 504-278-4007
Provider Business Practice Location Address
First Line : 2626 CHARLES DR
Second Line :
City : CHALMETTE
State : LA
Zip : 70043-3779
Country : US
Telephone Number : 504-278-4006
Fax Number : 504-278-4007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 12/31/2014

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Directions to “ MICHAEL ROBERT MCNEIL LCSW” Practice Location

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