PHILIP LEE MCDONALD LMSW NPI 1003030107

NPI Information

NPI: 1003030107
Provider Name: PHILIP LEE MCDONALD, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1648 S 16TH ST
PHOENIX, AZ
ZIP 85034
Phone: (714) 235-1970
Get Directions

Philip Lee Mcdonald, LMSW is a mental health counselor in Phoenix, AZ. Philip Lee Mcdonald, LMSW NPI is 1003030107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1648 S 16TH ST
PHOENIX, AZ
ZIP 85034-340
Phone: (714) 235-1970

The enumeration date for this NPI number is 4/12/2007 and was last updated on 9/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		13512	ARIZONA	No
2	104100000X	Social Worker		6128	KANSAS	No
3	101YM0800X	Counselor	Mental Health	13512	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100098010B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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