Active NPI
Richard Francis McNeill
- Clinical Social Worker
- White River Junction, VT
National Provider Identifier
1255447009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1030475
- Practice address
- 215 North Main Street
VA Medical Center
White River Junction, VT 05009 - Phone
- (978) 283-0296
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1380 | MA | |
| Clinical Social Worker | 1041C0700X | 1030475 | MA | Primary |
Addresses
Primary practice location
215 North Main Street
VA Medical Center
White River Junction, VT 05009
Mailing address
215 North Main Street
VA Medical Center
White River Junction, VT 05009
Phone (802) 295-9363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Corporation | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beverly, MA
- NPI 1154302586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1255447009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NORTH MAIN STREET",
"address_2": "VA MEDICAL CENTER",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "05009",
"telephone_number": "802-295-9363",
"fax_number": "802-296-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NORTH MAIN STREET",
"address_2": "VA MEDICAL CENTER",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "05009",
"telephone_number": "978-283-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "RICHARD",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1380",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1030475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.