Katelyn Vaughan McDonald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009237 Issued in CT

Practice address

2800 Main St
Glastonbury, CT 06033-1091

Phone

(860) 430-1340

NPI assigned

Mar 2, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Trading Spaces ABA, LLC

  • Community/Behavioral Health Agency
  • Glastonbury, CT
  • NPI 1205219060
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1346874161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331091",
            "telephone_number": "860-430-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331091",
            "telephone_number": "860-430-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATELYN",
        "middle_name": "VAUGHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RingCentral",
            "affiliation": "N",
            "address_1": "2800 Main St",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060331091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher McCarthy, M.D.
• Josephine G McCarthy, PT
• Kristen Labrencis McCartney, PA-C
• Lisa Danielle McCoy
• Carole McDonald, BCBA
• Meghan Elisabeth McDowell-Vyse, LCSW
• Ashley M. McElroy
• Cali McGinn
• Brendan McGreevy, DPT
• Alison McGuckin

• Clinical Social Worker in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.