Mark Charles Macdonald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-000701 Issued in IL

Practice address

600 W Roosevelt Rd
Suite A2
Wheaton, IL 60187-5088

Phone

(630) 462-8810

Fax

(630) 462-8820

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Macdonald & Associates, PC

  • Clinical Social Worker
  • Wheaton, IL
  • NPI 1316149107
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1013033885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W ROOSEVELT RD",
            "address_2": "SUITE A2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875088",
            "telephone_number": "630-462-8810",
            "fax_number": "630-462-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W ROOSEVELT RD",
            "address_2": "SUITE A2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875088",
            "telephone_number": "630-462-8810",
            "fax_number": "630-462-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Lustick, CLS
• Derel Lux
• Luxottica of America Inc. (Lenscrafters #783)
• Erin Kathleen Luy
• M. Cornejo Garcia, Psy.D., P.C. (Inspiring Connections Therapy)
• Parvine Mobed Macdonald, LCSW
• Rosemary M Macdonald, LCPC
• Nancy Machonkin, PSY.D.
• Esmeralda Macias
• Kelly Anne Mack, RD4

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.