Elise Christine McDonald, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW118661 Issued in MA

Practice address

830 Chalkstone Ave
Providence VA Medical Center, Building 14
Providence, RI 02908-4799

Phone

(401) 273-7100

Fax

(401) 457-3354

NPI assigned

Jan 4, 2013

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

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1801133319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084734",
            "telephone_number": "401-273-7100",
            "fax_number": "401-457-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "address_2": "PROVIDENCE VA MEDICAL CENTER, BUILDING 14",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084799",
            "telephone_number": "401-273-7100",
            "fax_number": "401-457-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Estelle St",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "RI",
            "postal_code": "029161816",
            "country_code": "US",
            "telephone_number": "401-374-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ELISE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW118661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle McCurdy, LMHC
• Cara McDavitt, MD
• Patricia McDermott, PA
• Daniel McDonald, CRNA
• Donna Marie McDonald, APRN
• Ivy Marie McDonald
• Jennifer Lee McDonald, PHARM.D.
• Leah Jean McDonald, M.D.
• Thomas Allen McDonald, PA-C
• Brandi J McDonnell

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.