Provider Demographics
NPI:1366514622
Name:MCNEIL, NORMA G (LCSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:G
Last Name:MCNEIL
Suffix:
Gender:F
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:PO BOX 40406
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-0406
Mailing Address - Country:US
Mailing Address - Phone:615-463-6652
Mailing Address - Fax:615-463-6605
Practice Address - Street 1:801 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3108
Practice Address - Country:US
Practice Address - Phone:931-490-1460
Practice Address - Fax:931-490-1462
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000042371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3925587Medicaid
TN$$$$$$$$$OtherTENNCARE
TN$$$$$$$$$OtherTENNCARE