Active NPI
Madeline Macdonald-Poole
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1114717832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW2120093
- Practice address
- 74 O St Unit 1
Boston, MA 02127-2311 - Phone
- (781) 974-4703
- NPI assigned
- May 7, 2025
- Sex
- Female
- 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 | LCSW2120093 | MA | Primary |
Addresses
Primary practice location
74 O St Unit 1
Boston, MA 02127-2311
Mailing address
74 O St Unit 1
Boston, MA 02127-2311
Other practice location 1
700 Massachusetts Avenue, 3rd Floor
Cambridge, MA 02139
Phone (888) 500-2067
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 |
|---|---|---|---|
| LCSW2120093 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1114717832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 O ST UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 O ST UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272311",
"telephone_number": "781-974-4703"
}
],
"practiceLocations": [
{
"address_1": "700 Massachusetts Avenue, 3rd Floor",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "02139",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD-POOLE",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW2120093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.