Judy Vita Macdonald, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0903002319 Issued in VA

Practice address

22 Century Blvd Ste 220
Nashville, TN 37214-3787

Phone

(844) 295-4273

Fax

(855) 611-1917

NPI assigned

Apr 15, 2014

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1568881605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 WILLOW OAK CIR APT 212",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516823",
            "telephone_number": "757-589-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CENTURY BLVD STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143787",
            "telephone_number": "844-295-4273",
            "fax_number": "855-611-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JUDY",
        "middle_name": "VITA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903002319",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maben, FNP
• Jenna Rose Mabry, MS, RDN, LD
• Robert Mabry, DC
• Amy Macchiaverna
• James Macdonald, MD
• Kelsey Macdonald
• Lorraine A. Macdonald, M.D.
• Lydia L Macdonald, APRN
• Margaret Jane Macdonald, BCBA
• Robert L. Macdonald, M.D, PHD

• Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.