Provider Demographics
NPI:1023619798
Name:MCNEIL, KEALSEY BRENNAN (LCSW)
Entity type:Individual
Prefix:
First Name:KEALSEY
Middle Name:BRENNAN
Last Name:MCNEIL
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 AYLESBORO AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1121
Mailing Address - Country:US
Mailing Address - Phone:484-985-0885
Mailing Address - Fax:
Practice Address - Street 1:5445 AYLESBORO AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1121
Practice Address - Country:US
Practice Address - Phone:484-985-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-07
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00118551041C0700X
PACW0206341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical