Provider Demographics
NPI:1962913673
Name:MCNEILL, DARRIN LEE (MSW,LCSWA,LCASA)
Entity type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:LEE
Last Name:MCNEILL
Suffix:
Gender:M
Credentials:MSW,LCSWA,LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 TREE RING CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7465
Mailing Address - Country:US
Mailing Address - Phone:910-583-1104
Mailing Address - Fax:
Practice Address - Street 1:207 S STEWART ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3329
Practice Address - Country:US
Practice Address - Phone:910-904-7147
Practice Address - Fax:910-904-7148
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP-0105541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical