Individual provider Active NPI

Jennifer McNeil, LICSW

  • Clinical Social Worker
  • Longview, WA
National Provider Identifier
1356077424
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61590450 Issued in WA
Practice address
523 Grasseth Poston Rd
Longview, WA 98632-9610
Phone
(360) 860-5377
NPI assigned
Jul 29, 2022
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 LW61590450 WA Primary

Addresses

Primary practice location

523 Grasseth Poston Rd
Longview, WA 98632-9610

Mailing address

7720 NE Highway 99 Ste D1104
Vancouver, WA 98665-8858
Phone (360) 860-5377

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61590450WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Strength Counseling, PLLC Clinical CurrentSince May 25, 2025 Accepting new patients
Trauma Informed Therapies Clinical PastSince Jul 1, 2022 Accepting new patients
A Refuge: Trauma Informed Therapies, a Nonprofit Organization Clinical PastSince Jul 1, 2022 Accepting new patients

Locations

7720 NE Highway 99
Ste D1104
Vancouver, WA 98665
Phone (360) 860-5377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1356077424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 NE HIGHWAY 99 STE D1104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658858",
            "telephone_number": "360-860-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 GRASSETH POSTON RD",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986329610",
            "telephone_number": "360-860-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61590450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.