Mindy M McDonald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

38604 Issued in TX

Practice address

406 Pittman Ave
Wolfforth, TX 79382-3363

Phone

(806) 789-6604

NPI assigned

Jan 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Courtney Walraven LCSW PLLC

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1952188542
  Medicare reassignment NPD

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1356980890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PITTMAN AVE",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793823363",
            "telephone_number": "806-789-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 PITTMAN AVE",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793823363",
            "telephone_number": "806-789-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MINDY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hughes
• Megan Kaye Hunt
• Laura Elizabeth Jackson, SLP
• Megan Elizabeth Janson, M.D.
• Seth Kline, CNA
• Justin Michael Miranda, PHARMD, MBA
• Courtney Aileen O'Connor, M.S., CCC-SLP
• Larry Allen Payne, LPC, M.A.
• Whitney Genee Perdomo, MA, CCC-SLP
• Mary Patricia Plaut, LMSW-ACP

• Clinical Social Worker in Wolfforth, TX
• Providers in Wolfforth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.