Active NPIIndividual providerSole proprietor

Michelle C Mcdonald, LICSW

Social Worker, Clinical in Ipswich, Massachusetts

NPI Number1962841999
Practice location
4 S Main St, Ipswich, MA 01938-2345
Fax
978-338-4054
Last updated
October 7, 2020

Michelle C Mcdonald is a Social Worker, Clinical based in Ipswich, MA. Michelle C Mcdonald practices in Ipswich, MA and has the professional credentials of LICSW. The NPI Number for Michelle C Mcdonald is 1962841999 and holds a License No. 219153 (MA). The current practice location address for Michelle C Mcdonald is 4 S Main St, Ipswich, MA 01938-2345 and can be reached out via phone at 978-704-1212 and via fax at 978-338-4054.

Provider Profile Details

NPI Number
1962841999
Provider Name
Michelle C Mcdonald
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4 S Main St, Ipswich, MA 01938-2345
Phone Number
978-704-1212
Fax Number
978-338-4054
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Michelle L Corf, LICSW (Former Name)
Provider Enumeration Date
June 24, 2013
Last Update Date
October 7, 2020
Certification Date
October 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 S Main St
Ipswich, MA 01938-2345
Zip
01938-2345
Phone Number
978-704-1212
Fax Number
978-338-4054
Ipswich, MA 01938Get directions →

Provider Business Mailing Address Details

Address
4 S Main St Ste 9
Ipswich, MA 01938-2345
City
Ipswich
State
MA
Zip
01938-2345
Phone Number
978-041-2127
Fax Number
978-338-4054

License Information

License Number (1)
219153
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Counselor · 101Y00000X

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 Michelle C Mcdonald, LICSW?

The NPI number of Michelle C Mcdonald, LICSW is 1962841999. It was assigned on June 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Michelle C Mcdonald, LICSW?

Michelle C Mcdonald, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 219153.

Where does Michelle C Mcdonald, LICSW practice?

The practice location is 4 S Main St, Ipswich, MA 01938-2345. The office can be reached at 978-704-1212 (phone) or 978-338-4054 (fax).

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 1962841999 directly on the NPPES registry website.

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