Individual provider Active NPI

Charlea Tracey McNeal, PH.D. MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1437332145
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088160 Issued in MI
Practice address
2311 E Stadium Blvd Ste B3
Ann Arbor, MI 48104-4803
Phone
(734) 686-4999
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 6801088160 MI Primary

Addresses

Primary practice location

2311 E Stadium Blvd Ste B3
Ann Arbor, MI 48104-4803

Mailing address

2311 E Stadium Blvd Ste B3
Ann Arbor, MI 48104-4803
Phone (734) 686-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000265 MI Practitioner - Clinical Social Worker 5890850457 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2311 E Stadium Blvd
Suite B3
Ann Arbor, MI 48104-4803
Phone (734) 686-4999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801088160MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Valley Consultation Center Inc CurrentSince Apr 9, 2013 Accepting new patients

Locations

2750 S State St
Ann Arbor, MI 48104
Phone (734) 662-1986

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1437332145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD STE B3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044803",
            "telephone_number": "734-686-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD STE B3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044803",
            "telephone_number": "734-686-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "CHARLEA",
        "middle_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "PH.D. MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.