Shane W Macdonald, LCSW
Social Worker in Medford, Massachusetts
1174124226- Practice location
- 20 Stearns Ave, Medford, MA 02155-5620
- Phone
- 860-964-9398
- Fax
- —
- Last updated
- November 5, 2020
Shane William Macdonald is a Social Worker based in Medford, MA. Shane William Macdonald practices in Medford, MA and has the professional credentials of LCSW. The NPI Number for Shane William Macdonald is 1174124226 and holds a License No. 223903 (MA). The current practice location address for Shane William Macdonald is 20 Stearns Ave, Medford, MA 02155-5620 and can be reached out via phone at 860-964-9398.
Provider Profile Details
- NPI Number
- 1174124226
- Provider Name
- Shane William Macdonald
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Stearns Ave, Medford, MA 02155-5620
- Phone Number
- 860-964-9398
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 5, 2020
- Last Update Date
- November 5, 2020
- Certification Date
- November 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Stearns Ave
Medford, MA 02155-5620 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5620
- Phone Number
- 860-964-9398
Provider Business Mailing Address Details
- Address
- 20 Stearns Ave
Medford, MA 02155-5620 - City
- Medford
- State
- MA
- Zip
- 02155-5620
- Phone Number
- 860-964-9398
License Information
- License Number
- 223903
- License State
- MA
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Medford, MA
View all Social Workers in Medford →Frequently Asked Questions
What is the NPI number of Shane W Macdonald, LCSW?
The NPI number of Shane W Macdonald, LCSW is 1174124226. It was assigned on November 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Shane W Macdonald, LCSW?
Shane W Macdonald, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 223903.
Where does Shane W Macdonald, LCSW practice?
The practice location is 20 Stearns Ave, Medford, MA 02155-5620. The office can be reached at 860-964-9398 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174124226 directly on the NPPES registry website.