NPIMap

Organization Active NPI

Mark Macdonald & Associates, PC

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1316149107
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-000701 Issued in IL
Legal business name
MARK MACDONALD & ASSOCIATES, PC
Practice address
600 W Roosevelt Rd
Suite A2
Wheaton, IL 60187-5088
Phone
(630) 462-8810
Fax
(630) 462-8820
NPI assigned
Jun 4, 2007
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mr. Mark Charles Macdonald, LCSWNPI 1013033885
Title
Owner of Private Practice
Phone
(630) 462-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-006320 IL
Professional Counselor 101YP2500X 180-005693 IL
Professional Counselor 101YP2500X 180-001600 IL
Clinical Social Worker 1041C0700X 149-000701 IL Primary
Clinical Social Worker 1041C0700X 149-003332 IL
Clinical Social Worker 1041C0700X 149-004725 IL

Addresses

Primary practice location

600 W Roosevelt Rd
Suite A2
Wheaton, IL 60187-5088

Mailing address

600 W Roosevelt Rd
Suite A2
Wheaton, IL 60187-5088
Phone (630) 462-8810

National Provider Directory

National Provider Directory

Locations

600 W Roosevelt Rd
Ste A2
Wheaton, IL 60187
Phone 6304628810 ext. 3

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1316149107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W ROOSEVELT RD",
            "address_2": "SUITE A2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875088",
            "telephone_number": "630-462-8810",
            "fax_number": "630-462-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W ROOSEVELT RD",
            "address_2": "SUITE A2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875088",
            "telephone_number": "630-462-8810",
            "fax_number": "630-462-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MACDONALD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER OF PRIVATE PRACTICE",
        "authorized_official_telephone_number": "630-462-8810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-004725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.