Roger Bruce McNellie, PH.D.,MSSW,LCSW,LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S1074 Issued in TX

Practice address

5922 Princess LN
Nacogdoches, TX 75961-7718

Phone

(936) 560-9437

Fax

(936) 560-9437

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306946652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 PRINCESS LN",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759617718",
            "telephone_number": "936-560-9437",
            "fax_number": "936-560-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 PRINCESS LN",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759617718",
            "telephone_number": "936-560-9437",
            "fax_number": "936-560-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNELLIE",
        "first_name": "ROGER",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.,MSSW,LCSW,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "5808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S1074",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Patrick McMorries, M.D.
• Kathy Lea McNeese, NP-C
• Tracey Meador, LPC
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• Maria Guadalupe Medina
• Stephanie Medina, ATC
• Medquinox

• Clinical Social Worker in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.