Melinda McDonald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW007880L Issued in PA

Practice address

7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231

Phone

(215) 247-5400

Fax

(215) 247-5175

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Evergreen Counseling and Psychological Associates LLC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1053748939

  Clinical

  NPD (past)
• Evergreen Counseling Associates

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1184787137

  Clinical

  NPD (past)
• Psycare Solutions Inc

  • Clinical Psychologist
  • Elkins Park, PA
  • NPI 1316003270
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083757975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 COBBLESTONE DR",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "19003",
            "telephone_number": "484-412-8583",
            "fax_number": "215-247-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 STENTON AVE",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183231",
            "telephone_number": "215-247-5400",
            "fax_number": "215-247-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MELINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW007880L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7074074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2320819000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica McDonald
• Katherine McDonald, CRNP
• Mackenzie Marie McDonald, MD
• Maryann McDonald, RN,BSN,MED
• Megan McDonald, OD
• Michele Anne McDonald, CRNP
• Nicholas Michael McDonald, M.D.
• Olivia McDonald
• Sara A McDonald, P.A.
• Syreeta McDonald

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• 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.

Verify at the official NPI Registry.