Provider Demographics
NPI:1770559486
Name:NEIL, KEVIN SCOTT (LPC, MAC, CRC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:SCOTT
Last Name:NEIL
Suffix:
Gender:M
Credentials:LPC, MAC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5029 MACARTHUR BLVD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3313
Mailing Address - Country:US
Mailing Address - Phone:202-437-4812
Mailing Address - Fax:
Practice Address - Street 1:1003 SPRING ST
Practice Address - Street 2:KOLMAC CLINIC
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4016
Practice Address - Country:US
Practice Address - Phone:301-589-0255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)