MAXINE MCDONALD LCSW-R CASAC NPI 1609831106

NPI Information

NPI: 1609831106
Provider Name: MAXINE MCDONALD, LCSW-R, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2139 EVERGREEN LN
ONTARIO, NY
ZIP 14519
Phone: (585) 330-8891
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Maxine Mcdonald, LCSW-R, CASAC is an addiction (substance use disorder) counselor in Ontario, NY. Maxine Mcdonald, LCSW-R, CASAC NPI is 1609831106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2139 EVERGREEN LN
ONTARIO, NY
ZIP 14519-705
Phone: (585) 330-8891

The enumeration date for this NPI number is 4/18/2006 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5134	NEW YORK	Yes
2	1041C0700X	Social Worker	Clinical	R042699-1	NEW YORK	X

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	110547FK	OTHER	NEW YORK	PREFERRED CARE
2	P8392	MEDICARE UPIN	NEW YORK
3	DD4696	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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