Active NPI
Kailey Elaine McNeil, LMSW
- Social Worker
- Kodiak, AK
National Provider Identifier
1164101481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 216530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 216530 | AK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontline Counseling & Wellness, LLC. | Clinical | Current | Accepting new patients |
| Kodiak Area Native Association | Past | Accepting new patients | |
| Kodiak Area Native Association | Past | 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.
-
- Clinical Social Worker
- North Pole, AK
- NPI 1558220475
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valdez, AK
- NPI 1659118685
-
- Dental Clinic/Center
- Kodiak, AK
- NPI 1205883907
-
- Community Health Clinic/Center
- Kodiak, AK
- NPI 1801187471
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.