MAXINE MCDONALD


Address: 2139 Evergreen Ln, Ontario, NY 14519-9705
Phone: 5853308891

MAXINE MCDONALD (NPI# 1609831106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609831106
Entity Type Individual
Full Name MAXINE MCDONALD
Credential LCSW-R, CASAC
Practice Address 2139 Evergreen Ln
Ontario
NY 14519-9705
Practice Telephone 5853308891
Mailing Telephone 5853308891
Enumeration Date 2006-04-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
5134 NY Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
R042699-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PREFERRED CARE 110547FK 01

Office Location

Street Address 2139 EVERGREEN LN
City ONTARIO
State NY
Zip Code 14519-9705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104396274 Family Health Np Immediate Care, Pllc Nurse Practitioner 6280 Furnace Road, Ontario, NY 14519 2018-11-30
1194855940 Elias Konstantinou Dentist 6277 Furnace Rd, Ontario, NY 14519 2007-03-07
1205923232 Neal T. Smith & Jeannine L. Dolan, M.d.'s Family Medicine 5973 Walworth Road, Ontario, NY 14519 2006-10-10
1063955896 Shannon Bassett Registered Nurse 1784 Ridge Rd., Ontario, NY 14519-0155 2016-11-28
1912333717 Jessica Lynn Villa Licensed Practical Nurse 6094 Trillium Trl, Ontario, NY 14519-8614 2013-09-25
1821333006 Tammy Currier Licensed Practical Nurse 6183 Lillypond Way, Ontario, NY 14519-8622 2012-11-29
1427380518 Laura Anne Miller Pharmacist 6296 Ontario Center Rd, Ontario, NY 14519-8643 2010-02-01
1265957880 Walgreen Co Durable Medical Equipment & Medical Supplies 6296 Ontario Center Rd, Ontario, NY 14519-8643 2017-08-04
1225381411 Tammy L Steurrys Licensed Practical Nurse 6279 Knickerbocker Rd, Ontario, NY 14519-8804 2012-10-25
1508321126 Kelley M Schneider Licensed Practical Nurse 165 Macintosh Rd, Ontario, NY 14519-8821 2019-02-07
Find all providers in zip 14519

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669990768 Claudia Juarez Tapia Counselor 125 W F Street, Ontario, CA 91762 2017-09-08
1417489949 Kristopher Reyes Counselor 125 W F St Unit 101, Ontario, CA 91762-3201 2017-04-03
1326399510 Kevin V Chandler Counselor 1921 E Banyan St, Ontario, CA 91761-6405 2012-09-27
1376772673 Elizabeth Diane Roberts Counselor 747 N. Euclid Ave, Ontario, CA 91762-2878 2009-07-08
1154576650 Krystle Lasha Greely Counselor 1801 Excise Ave Ste 116, Ontario, CA 91761 2008-11-25
1962655456 Quan L Hancock Counselor 125 W F St Ste 101, Ontario, CA 91762-3262 2008-10-28
1144432162 Rena Cantu Counselor 316 East E Street, Ontario, CA 91764 2007-05-03
1184842122 Rosemary Yates Counselor 125 West F St, Ontario, CA 91762 2007-04-23
1457486573 Gilford C Hoel Counselor 30503 Opus Rd, Ontario, WI 54651-6537 2007-02-22
1871636233 Norman Croom Counselor 1647 Holt Blvd, Ontario, CA 91761-2107 2007-02-15
Find all providers in ONTARIO

Competitor

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City ONTARIO
Zip Code 14519

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Dataset Information

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.

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