Fredda G McDonnell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104451 Issued in MA

Practice address

5 Watson Rd
Ste 206
Belmont, MA 02478-3900

Phone

(617) 489-1521

Fax

(781) 862-0325

NPI assigned

Dec 1, 2005

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 names 1

• Ms. Fredda G Sklar Professional name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Lisa M Lynch, Licsw LLC

  • Exclusive Provider Organization
  • Stoneham, MA
  • NPI 1295268092
  NPD (past)
• Stuart M Kameny MD

  • Psychiatry Physician
  • Cambridge, MA
  • NPI 1225279706
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1457335663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471114",
            "telephone_number": "508-763-9299",
            "fax_number": "508-763-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WATSON RD",
            "address_2": "STE 206",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783900",
            "telephone_number": "617-489-1521",
            "fax_number": "781-862-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "FREDDA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDDA",
            "last_name": "SKLAR",
            "middle_name": "G",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lee Maynard, PH.D.
• Megan Patricia McCaffrey
• Julie M McCarthy, PHD
• Catherine H. McCool, MSW LICSW
• Timothy Joseph McDermott, M.A.
• Meghan Fennell McEachern, LCSW
• Ryan Daniel McEnroe, LICSW
• Sean Joseph McGlew, PSY.D., L.P.
• Patrick McGuire, M.D.
• Rebecca Kathryn McHugh, PH.D.

• Clinical Social Worker in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.