Active NPIIndividual provider

Wendy Mcdonald, LICSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1255401188
Practice location
VA Boston Healthcare System, 940 Belmont Street, Brockton, MA 02301
Fax
—
Last updated
October 2, 2020

Wendy Mcdonald is a Social Worker, Clinical based in Brockton, MA. Wendy Mcdonald practices in Brockton, MA and has the professional credentials of LICSW. The NPI Number for Wendy Mcdonald is 1255401188 and holds a License No. 112101 (MA). The current practice location address for Wendy Mcdonald is VA Boston Healthcare System, 940 Belmont Street, Brockton, MA 02301 and can be reached out via phone at 774-826-3694.

Provider Profile Details

NPI Number
1255401188
Provider Name
Wendy Mcdonald
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
VA Boston Healthcare System, 940 Belmont Street, Brockton, MA 02301
Phone Number
774-826-3694
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2006
Last Update Date
October 2, 2020
Certification Date
October 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
VA Boston Healthcare System
940 Belmont Street
Brockton, MA 02301
Zip
02301
Phone Number
774-826-3694
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
18 Bradley Dr Unit D
Groton, MA 01450-4302
City
Groton
State
MA
Zip
01450-4302
Phone Number
978-339-9153

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Social Worker, School · 1041S0200X
License Number (3)
112101
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wendy Mcdonald, LICSW?

The NPI number of Wendy Mcdonald, LICSW is 1255401188. It was assigned on November 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Wendy Mcdonald, LICSW?

Wendy Mcdonald, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 112101.

Where does Wendy Mcdonald, LICSW practice?

The practice location is VA Boston Healthcare System, 940 Belmont Street, Brockton, MA 02301. The office can be reached at 774-826-3694 (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 1255401188 directly on the NPPES registry website.

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