DARREN MICHAEL NEALIS (LICSW) – Clinical Social Worker, NPI 1912929258

DARREN MICHAEL NEALIS (LICSW) is a healthcare provider. based in Portland, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW60065730 (WA). The NPI Number for DARREN MICHAEL NEALIS (LICSW) is 1912929258

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DARREN MICHAEL NEALIS (LICSW)
NPI
1912929258
Phone
Not provided
Address
PO BOX 3360
Enumeration Date
24 July 2006
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
1850455650
Group Practice PAC ID
6709782600
Professional Enrollment ID
I20090122000530
Address ID
WA985065101OL525XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for DARREN MICHAEL NEALIS (LICSW)

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

  • 18313 PAULSON ST SW STE A

    ROCHESTER, WA 985799262

    Phone: (360) 827-8400

    Fax: (360) 273-7301

    Type: Location

  • 2613, Walnut Loop Northwest, Olympia, Thurston County, Washington, 98502, United States

    OLYMPIA, WA 985024417

    Phone: (360) 628-2547

    Type: Mailing

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: 2009-01-22

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
I20090122000530IClinical Social WorkerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour3613$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 6709782600View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
Gynecological Oncology, Obstetrics/GynecologyCA
-OR
Certified Nurse Midwife (Cnm)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA
Physician AssistantWA
Mental Health CounselorWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

What is the registry number for DARREN MICHAEL NEALIS (LICSW)?
The registry entry for DARREN MICHAEL NEALIS (LICSW) shows NPI 1912929258.
Should I treat DARREN MICHAEL NEALIS (LICSW) as an active provider?
Patients and plans typically see DARREN MICHAEL NEALIS (LICSW) as active in the national extract.
Which specialty label fits DARREN MICHAEL NEALIS (LICSW)?
NPPES ties DARREN MICHAEL NEALIS (LICSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DARREN MICHAEL NEALIS (LICSW)?
DARREN MICHAEL NEALIS (LICSW) shows a connection to Portland, Oregon in registry-derived data.
Can I export DARREN MICHAEL NEALIS (LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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