Individual provider Active NPI

Nicole Lee McNeil, MSW, LICSW

  • Clinical Social Worker
  • Brookline, NH
National Provider Identifier
1114250511
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117170 Issued in MA
Practice address
44 Mason Rd
Brookline, NH 03033
Phone
(617) 610-3402
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117170 MA Primary

Addresses

Primary practice location

44 Mason Rd
Brookline, NH 03033

Mailing address

44 Mason Rd
Brookline, NH 03033
Phone (617) 610-3402

Other practice location 1

1415 Beacon St
Brookline, MA 02446-4816
Phone (617) 610-3402

Other practice location 2

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 414-5245

Other identifiers 1

IdentifierTypeStateIssuer
110113739AMedicaidMA

Other names 1

  • Nicole Lee Francis Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicoleleefrancis@fleurdelisccc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fleur de Lis Counseling, Coaching, and Consultation LLC CurrentSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1114250511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MASON RD",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "03033",
            "telephone_number": "617-610-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MASON RD",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "03033",
            "telephone_number": "617-610-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024464816",
            "country_code": "US",
            "telephone_number": "617-610-3402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-5245",
            "fax_number": "617-638-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110113739A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicoleleefrancis@fleurdelisccc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44 MASON RD",
            "city": "BROOKLINE",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FRANCIS",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookline, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.