Active NPI
Patrick M McNeil, LCSW, MSW, QMHP, PIP
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1871565325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1421
- Practice address
- 4400 W 69TH St
Ste 500
Sioux Falls, SD 57108-8170 - Phone
- (605) 322-7580
- Fax
- (605) 322-7579
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1421 | SD | |
| Clinical Social Worker | 1041C0700X | 1421 | SD | Primary |
Addresses
Primary practice location
4400 W 69TH St
Ste 500
Sioux Falls, SD 57108-8170
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1993774 | Medicaid | IA | |
| 30854 | Other | SD | SANFORD HEALTH PLAN |
| 485R5MC | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 4995023 | Other | SD | BLUE CROSS |
| 1967633 | Other | SD | ARAZ/ AMERICA'S PPO |
| 12242 | Medicaid | ND | |
| 232113 | Other | SD | MIDLANDS CHOICE |
| 6571062 | Medicaid | SD | |
| 769191031615 | Other | SD | PREFERRED ONE |
| 370624200 | Other | SD | DEPT OF LABOR |
| 219322100 | Medicaid | MN | |
| 9218647 | Other | SD | DAKOTACARE |
| 92411422904 | Other | MN | PRIMEWEST |
| HP39501 | Other | SD | HEALTHPARTNERS |
| 57108D009 | Other | SD | WPS TRICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1421 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Interoperability endpoints
- patrick.mcneil@avera.sdhealthlink.net
Organizations & group practices 2
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.
-
dba Avera Medical Group Midwest Psychiatric Medicine Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1407829781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1871565325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 69TH ST",
"address_2": "STE 500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088170",
"telephone_number": "605-322-7580",
"fax_number": "605-322-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "PATRICK",
"middle_name": "M",
"credential": "LCSW, MSW, QMHP, PIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "1421",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "1421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1993774",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "30854",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "485R5MC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4995023",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/ AMERICA'S PPO",
"identifier": "1967633",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12242",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "232113",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6571062",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "769191031615",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219322100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9218647",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "92411422904",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP39501",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57108D009",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.