Joelle Antonia Macdonald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002592 Issued in VA

Practice address

9870B Main St
Fairfax, VA 22031-3908

Phone

(703) 869-8464

NPI assigned

Oct 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Hopelink Behavioral Health

  • Voluntary or Charitable Agency
  • Oakton, VA
  • NPI 1275639684
  NPD (past)
• Prince William County

  • Ambulance
  • Prince William, VA
  • NPI 1235437385
  NPD (past)
• Prince William County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manassas, VA
  • NPI 1053402800
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407936313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 LAUNCELOT WAY",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031357",
            "telephone_number": "703-560-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870B MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "703-869-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JOELLE",
        "middle_name": "ANTONIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "193715",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLU",
            "identifier": "M565-0002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khanh Ma, DC
• Darya B Maanavi, MD
• Sonia J Mabout, PA-C
• Peter H Macarthur, M.D.
• Christina Joyce Macauley, MS, CCC-SLP
• Scott Alan Macdonald, O.D.
• Darwin Luke Mach
• Darlene Renee Mack, LCSW-C
• Robert C Mackow, MD
• Laura Kay Maddock, LPC

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.