Individual provider Active NPI

Kailey Elaine McNeil, LMSW

  • Social Worker
  • Kodiak, AK
National Provider Identifier
1164101481
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
216530 Issued in AK
Practice address
3449 E Rezanof Dr
Kodiak, AK 99615-6952
Phone
(907) 486-9800
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X 216530 AK Primary

Addresses

Primary practice location

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Mailing address

3431 Sitkinak Dr
Kodiak, AK 99615-6971
Phone (907) 942-2442

Other practice location 1

3431 Sitkinak Dr
Kodiak, AK 99615-6971
Phone (907) 942-2442

Other practice location 2

323 Carolyn St
Kodiak, AK 99615-6376
Phone (907) 486-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250218001634 AK Practitioner - Mental Health Counselor 1254863558 Practice locations: North Pole, AK
I20260610003001 AK Practitioner - Clinical Social Worker 1254863558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

609 Main St
Warsaw, OH 43844-3500

PO Box
Suite 2318
Valdez, AK 99686-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216530AKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Counseling & Wellness, LLC. Clinical CurrentSince Jan 27, 2026 Accepting new patients
Kodiak Area Native Association PastSince Sep 11, 2024 Accepting new patients
Kodiak Area Native Association PastSince Sep 11, 2024 Accepting new patients

Organizations & group practices 4

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1164101481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SITKINAK DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156971",
            "telephone_number": "907-942-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3431 Sitkinak Dr",
            "address_purpose": "LOCATION",
            "city": "Kodiak",
            "state": "AK",
            "postal_code": "996156971",
            "country_code": "US",
            "telephone_number": "907-942-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Carolyn St",
            "address_purpose": "LOCATION",
            "city": "Kodiak",
            "state": "AK",
            "postal_code": "996156376",
            "country_code": "US",
            "telephone_number": "907-486-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KAILEY",
        "middle_name": "ELAINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "216530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

Verify at the official NPI Registry.