SHANE WILLIAM MACDONALD (NPI# 1174124226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124226 |
| Entity Type | Individual |
| Full Name | SHANE WILLIAM MACDONALD |
| Credential | LCSW |
| Practice Address |
20 Stearns Ave Medford MA 02155-5620 |
| Practice Telephone | 8609649398 |
| Mailing Telephone | 8609649398 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 223903 | MA | Behavioral Health & Social Service Providers |
| Street Address |
20 STEARNS AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851925762 | Tracey Marie Damrau | Social Worker | 879 Old Medford Ave, Medford, NY 11763-2660 | 2020-02-29 |
| 1326696261 | Marlee Starr Thompson | Social Worker | 5 High St Ste 1, Medford, MA 02155-3800 | 2019-09-03 |
| 1447810759 | Kescha Murphy | Social Worker | 1735 N Ocean Ave Ste 5, Medford, NY 11763-2671 | 2019-06-18 |
| 1902366198 | Regina Marie Ely | Social Worker | 2799 Medford Ave Ste 11, Medford, NY 11763-2535 | 2019-03-22 |
| 1639654353 | Joan Matteuzzi | Social Worker | 35 Dianne Rd, Medford, MA 02155-1542 | 2018-09-27 |
| 1588161707 | Claudel Chevry | Social Worker | 4 Exchange Ave, Medford, MA 02155-6309 | 2018-04-13 |
| 1316302474 | Nancy Zukowski | Social Worker | 6 Victorian Ln, Medford, NY 11763-2573 | 2015-12-16 |
| 1003283664 | Christina Maria Conforto | Social Worker | 9 Yale St, Apartment 1, Medford, MA 02155-6029 | 2015-08-28 |
| 1093109746 | Maka Osman | Social Worker | 789 Fellsway W, Medford, MA 02155-1217 | 2015-03-20 |
| 1184018947 | Krista Nash | Social Worker | 175 Route 70 Ste 12, Medford, NJ 08055 | 2015-03-19 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.