Organization Active NPI

Paula McDonald-Neely, LCSW, PLLC

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1639579899
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32475 Issued in TX
Legal business name
PAULA MCDONALD-NEELY, LCSW, PLLC
Practice address
431 Nursery Rd
Suite B 700
Spring, TX 77380-1985
Phone
(281) 610-8412
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Paula Susanne McDonald-Neely, LCSWNPI 1912325978
Title
Licensed Clinical Social Worker
Phone
(281) 610-8412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 32475 TX Primary

Addresses

Primary practice location

431 Nursery Rd
Suite B 700
Spring, TX 77380-1985

Mailing address

431 Nursery Rd
Suite B 700
Spring, TX 77380-1985
Phone (281) 610-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924000189 TX Part B Supplier - Clinic/Group Practice 8325267354 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

431 Nursery Rd
Ste B700
The Woodlands, TX 77380
Phone (281) 433-5012

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1639579899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD",
            "address_2": "SUITE B 700",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801985",
            "telephone_number": "281-610-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD",
            "address_2": "SUITE B 700",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801985",
            "telephone_number": "281-610-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA MCDONALD-NEELY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD-NEELY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "281-610-8412",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.