Individual provider Active NPI

Mary E Macdonald, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1255389433
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992659 Issued in CO
Practice address
2121 North Ave
Grand Junction, CO 81501-6428
Phone
(970) 242-0731
Fax
(970) 256-8905
NPI assigned
May 4, 2006
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 992659 CO Primary

Addresses

Primary practice location

2121 North Ave
Grand Junction, CO 81501-6428

Mailing address

1088 E Cleveland Ave
Fruita, CO 81521-3105
Phone (970) 858-8295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715004093 CO Practitioner - Clinical Social Worker 5698210532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2708 Patterson Rd
Grand Junction, CO 81506-4031
Phone (970) 243-9539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992659COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Enriched Communications, Inc. CurrentSince Jun 11, 2024 Accepting new patients
Center for Enriched Communications, Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

2708 Patterson Rd
Grand Junction, CO 81506
Phone (970) 243-9539

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1255389433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 E CLEVELAND AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213105",
            "telephone_number": "970-858-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016428",
            "telephone_number": "970-242-0731",
            "fax_number": "970-256-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.