Provider Demographics
NPI:1871565325
Name:MCNEIL, PATRICK M (LCSW, MSW, QMHP, PIP)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:M
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:LCSW, MSW, QMHP, PIP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-7580
Practice Address - Fax:605-322-7579
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1421101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1993774Medicaid
SD30854OtherSANFORD HEALTH PLAN
MN485R5MCOtherCC SYSTEMS/ BLUE PLUS
SD4995023OtherBLUE CROSS
SD1967633OtherARAZ/ AMERICA'S PPO
ND12242Medicaid
SD232113OtherMIDLANDS CHOICE
SD6571062Medicaid
SD769191031615OtherPREFERRED ONE
SD370624200OtherDEPT OF LABOR
MN219322100Medicaid
SD9218647OtherDAKOTACARE
MN92411422904OtherPRIMEWEST
SDHP39501OtherHEALTHPARTNERS
SD57108D009OtherWPS TRICARE
SD4995023OtherBLUE CROSS
SD232113OtherMIDLANDS CHOICE
SD370624200OtherDEPT OF LABOR