Provider Demographics
NPI:1740748581
Name:MCNEIL, WASHAUNDRA A (MSW, LICSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:WASHAUNDRA
Middle Name:A
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:MSW, LICSW, PIP
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 342
Mailing Address - Street 2:
Mailing Address - City:FOSTERS
Mailing Address - State:AL
Mailing Address - Zip Code:35463-0342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3915 PALISADES DR STE B
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-3415
Practice Address - Country:US
Practice Address - Phone:205-887-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-11
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4180C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical