Organization Active NPI

John McDonald LCSW LLC

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1386173383
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05358400 Issued in NJ
Legal business name
JOHN MCDONALD LCSW LLC
Practice address
297 Kinderkamack Rd
Oradell, NJ 07649-1538
Phone
(201) 503-1247
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Authorized official

Name
Shelley Infeld
Title
Credential Manager
Phone
(201) 679-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05358400 NJ Primary

Addresses

Primary practice location

297 Kinderkamack Rd
Oradell, NJ 07649-1538

Mailing address

47 Markham Cir
Englewood, NJ 07631-5040
Phone (201) 503-1247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1386173383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MARKHAM CIR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315040",
            "telephone_number": "201-503-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491538",
            "telephone_number": "201-503-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MCDONALD LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "INFELD",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "201-679-6412"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05358400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.