Keith John McNeal

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60773522 Issued in WA

Practice address

5900 100TH St SW Ste 17B
Lakewood, WA 98499-2749

Phone

(253) 431-9739

NPI assigned

Oct 30, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connections Counseling Services NW LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Federal Way, WA
  • NPI 1275007627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1013484781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 79TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983207",
            "telephone_number": "253-777-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 100TH ST SW STE 17B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992749",
            "telephone_number": "253-431-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60773522",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60773522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann McMillan, BA
• Sara Main McMillan, B.A.
• Ebonie Queen McMullan, M.ED
• Ariel McMullin
• Craig Allen McNeal, MA60534573
• Emma Nicole McNutt, LMP
• Delana Marie McQuistion, HS
• Autumn McVay
• Anita Mean
• Jacqueline Christine Means, PSY.D.

• Social Worker in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.