Active NPI
Daniel Joseph Mac Donald, MSW, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1023110244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW #505
- Practice address
- 500 West Fort St
Boise Vamc
Boise, ID 83702 - Phone
- (208) 422-1145
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW #505 | ID | Primary |
Addresses
Primary practice location
500 West Fort St
Boise Vamc
Boise, ID 83702
Mailing address
5571 S Ulex PL
Boise, ID 83716-6926
Phone (208) 385-7352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW #505 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023110244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5571 S ULEX PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837166926",
"telephone_number": "208-385-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WEST FORT ST",
"address_2": "BOISE VAMC",
"city": "BOISE",
"state": "ID",
"postal_code": "83702",
"telephone_number": "208-422-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC DONALD",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW #505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.