Individual provider Active NPI

Michael J McDonagh, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1760706048
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102967 Issued in OH
Practice address
535 Marmion Ave
Youngstown, OH 44502-2323
Phone
(330) 782-5664
NPI assigned
Mar 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2102967 OH Primary

Addresses

Primary practice location

535 Marmion Ave
Youngstown, OH 44502-2323

Mailing address

535 Marmion Ave
Youngstown, OH 44502-2323
Phone (330) 782-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20211013003753 OH Practitioner - Clinical Social Worker 8921406406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MGH Healthcare, LLCGroup PAC ID 5193180446, 6 clinicians

Practice addresses (Care Compare)

321 Niles Cortland Rd NE
Suite B C
Warren, OH 44484-1974
Phone (330) 355-3234

535 Marmion Ave
Youngstown, OH 44502-2323
Phone (330) 782-5664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MGH Healthcare, LLC CurrentSince May 23, 2025 Accepting new patients
Compass Family and Community Services CurrentSince Aug 30, 2021 Accepting new patients
Compass Family and Community Services Current Accepting new patients

Locations

1960 E County Line Rd
Ste 5
Mineral Ridge, OH 44440

3120 W Market St
Warren, OH 44485
Phone (330) 898-6796

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

321 Niles Cortland Rd NE
Ste Bc
Warren, OH 44484
Phone (330) 355-3234

284 Broadway Ave
Youngstown, OH 44504
Phone (330) 743-5309

278 Broadway Ave
Youngstown, OH 44504
Phone (330) 743-9275

535 Marmion Ave
Youngstown, OH 44502
Phone (330) 782-5664

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1760706048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONAGH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.