Missy Marie McNeil, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116902 Issued in MI

Practice address

1260 Ajijaak Ave
Petoskey, MI 49770-8330

Phone

(231) 242-1640

NPI assigned

Feb 12, 2021

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Traverse Bay Bands of Odawa IndiansGroup PAC ID 8820995368, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Little Traverse Bay Bands of Odawa Indians

  • Federally Qualified Health Center (FQHC)
  • Petoskey, MI
  • NPI 1124052816
  Medicare reassignment Care Compare group
• Little Traverse Bay Bands of Odawa Indians

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1235342866
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1740873587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 AJIJAAK AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708330",
            "telephone_number": "231-242-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 AJIJAAK AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708330",
            "telephone_number": "231-242-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "MISSY",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Northern Michigan
• McLaren Northern Michigan
• McLaren Northern Michigan
• Mara McMurray
• Mark R McMurray, M.D.
• Amanda Suzanne McVannel
• Cassidy J McWatters
• Kaysci Jayne McWatters
• Matthew Phillip Mead, M.D.
• Sharnee Michaela Mead, DO

• Clinical Social Worker in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.