MISSY MARIE MCNEIL (LMSW) – Clinical Social Worker, NPI 1740873587

MISSY MARIE MCNEIL (LMSW) is a healthcare provider. based in Petoskey, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801116902 (MI). The NPI Number for MISSY MARIE MCNEIL (LMSW) is 1740873587

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MISSY MARIE MCNEIL (LMSW)
NPI
1740873587
Phone
(231) 242-1640
Address
1260 AJIJAAK AVE
Enumeration Date
12 February 2021
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312421700
Graduation Year
2019 (7 years ago)
PAC ID
5294199063
Group Practice PAC ID
8820995368
Professional Enrollment ID
I20230912003018
Address ID
MI497708330PE1260XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MISSY MARIE MCNEIL (LMSW)

  • 1260 AJIJAAK AVE

    PETOSKEY, MI 497708330

    Phone: (231) 242-1640

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230912003018IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820995368View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
Family PracticeMI
Clinical Social WorkerMI
Clinical PsychologistMI
Pediatric MedicineMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

How do payers reference MISSY MARIE MCNEIL (LMSW)?
For MISSY MARIE MCNEIL (LMSW), use NPI 1740873587 as the unique 10-digit identifier.
Would MISSY MARIE MCNEIL (LMSW) appear as active to a payer?
You can treat MISSY MARIE MCNEIL (LMSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MISSY MARIE MCNEIL (LMSW)'s focus?
For MISSY MARIE MCNEIL (LMSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISSY MARIE MCNEIL (LMSW)?
Travel planning: use Petoskey, Michigan as the reference point for MISSY MARIE MCNEIL (LMSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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