Susan Elaine McDonald, PH.D.,LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024888 Issued in PA

Practice address

311 Market Street, Suite 6
Kingston
Kingston, PA 18704-5068

Phone

(570) 814-0969

Fax

(570) 514-4918

NPI assigned

Jan 24, 2007

Last updated

May 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 15, 2024 through Oct 15, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1184779894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043535",
            "telephone_number": "570-814-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARKET STREET, SUITE 6",
            "address_2": "KINGSTON",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045068",
            "telephone_number": "570-814-0969",
            "fax_number": "570-514-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "PH.D.,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW007916L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Mattie, PHD
• James M Mattucci Jr., MD
• Sara McCormack, PA-C
• James Robert McDermott, D.C.
• Randy Charles McDermott, PTA
• Carolyn Hovey McGinnis, LCSW
• Med-One Supply, Inc.
• Medical Center of Northeastern PA LLC
• Medical Oncology Associates of Wyoming Valley, PC
• Medical Profesional Service, PC

• Clinical Social Worker in Kingston, PA
• Providers in Kingston, 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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.