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DARREN MICHAEL NEALIS LICSW
NPI 1912929258
Social Worker - Clinical in Rochester, WA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
18313 PAULSON ST SW STE A, ROCHESTER, WA 98579(360) 827-8400(360) 273-7301 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Darren Michael Nealis Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARREN MICHAEL NEALIS LICSW (NPI 1912929258) is an individual clinical provider in Rochester, Washington, licensed in Washington (LW60065730) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912929258
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDARREN MICHAEL NEALISCredential: LICSW
Location Address18313 PAULSON ST SW STE ARochester, WA 98579-9262
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 827-8400
Fax(360) 273-7301
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1912929258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60065730
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
18313 PAULSON ST SW STE A, Rochester, WA 98579
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darren Michael Nealis Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850455650
PECOS Enrollment IDI20090122000530
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Darren Nealis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
Same address
Rural Health
18313 PAULSON ST SW, SUITE A
Rochester, WA 98579
  • Reassigned Medicare billing, Washington enrollment
  • 24 clinicians in this Medicare group
NPI 1205931508 (360) 827-8400
Providence Health & Services Washington
7.9 mi
Rural Health
1010 S SCHEUBER RD
Centralia, WA 98531
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1225763949 (360) 827-7966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATTY RAISOR ARNP
Nurse Practitioner (Family)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400
SAMUEL SEOUK JOON KIM PHARMD
Pharmacist
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 273-0735
MRS. SUSAN RENAE CARLTON ARNP
Nurse Practitioner (Family)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darren Nealis's NPI number?

The NPI number for Darren Nealis is 1912929258. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Darren Nealis located?

Darren Nealis practices at 18313 Paulson St SW Ste A, Rochester, WA 98579. The listed phone number is (360) 827-8400.

What is Darren Nealis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Darren Nealis enrolled in Medicare?

Yes. Darren Nealis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Darren Nealis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darren Nealis reassigns Medicare benefits to 2 organizations: Providence Health & Services - Washington (Rochester, WA) and Providence Health & Services Washington (Centralia, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darren Nealis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darren Nealis accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Darren Nealis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darren Nealis was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.