Darren Michael Nealis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60065730 Issued in WA

Practice address

18313 Paulson St SW Ste a
Rochester, WA 98579-9262

Phone

(360) 827-8400

Fax

(360) 273-7301

NPI assigned

Jul 24, 2006

Sex

Male

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 WA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services Washington 480 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Providence Health & Services Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304

  Clinical, WA

  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Washington

  • Rural Health Clinic/Center
  • Rochester, WA
  • NPI 1205931508

  WA

  Medicare reassignment NPD
• Providence Health & Services Washington

  • Clinic/Center
  • Lacey, WA
  • NPI 1215431697
  Care Compare group
• Providence Health & Services Washington

  • Rural Health Clinic/Center
  • Centralia, WA
  • NPI 1225763949
  Care Compare group
• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1912929258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18313 PAULSON ST SW STE A",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799262",
            "telephone_number": "360-827-8400",
            "fax_number": "360-273-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALIS",
        "first_name": "DARREN",
        "middle_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60065730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn R Meckle, CCC
• Ashley Miraldi
• Morgan Family Dental
• Nathan Reid Morgan, D.D.S.
• N W Pediatric Center Inc P S
• Courtney Jeanette Oliver, COTA/L, RBT/CBT
• Options Consulting, PLLC
• Brian D Ottesen, ARNP
• Providence Health & Services - Washington
• Providence Health & Services - Washington

• All providers in Rochester, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.