Karen R Macdonald, LCSW, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

KAREN R MACDONALD, LCSW, LLC

Practice address

510 Main St Ste 201
Gorham, ME 04038-1339

Phone

(197) 851-5021

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Reed Macdonald, LCSW

Title

Owner

Phone

(978) 515-0216

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Brown

  • Counselor
  • South Portland, ME
  • NPI 1053707166
  NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1548914369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST STE 201",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "197-851-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST STE 201",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "197-851-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN R MACDONALD, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-515-0216",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polo Jean-Louis, LCSW
• Jessica Welch LLC
• Lois M. Jones, LCSW
• Sandra Elaine Jose, LSW-C
• Jan L. Juday, MA, CCC-SLP
• Joseph M Kerwin, D.C.
• Zoe Kiklis Christensen, DDS
• Kerry Kimball, E.D.D
• Kirsten Benson
• Mary Kroth-Brunet, PT

• Preferred Provider Organization in Gorham, ME
• Providers in Gorham, ME by specialty
• Preferred Provider Organization in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.