Individual provider Active NPI

Brian Anthony McDonald, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1801934732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16344 Issued in CA
Practice address
4242 Stansbury Ave Unit 106
Sherman Oaks, CA 91423-4249
Phone
(818) 624-7175
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS16344 CA Primary

Addresses

Primary practice location

4242 Stansbury Ave Unit 106
Sherman Oaks, CA 91423-4249

Mailing address

4242 Stansbury Ave Unit 106
Sherman Oaks, CA 91423-4249
Phone (818) 624-7175

Other identifiers 1

IdentifierTypeStateIssuer
LCS16344OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240229004409 PA Practitioner - Clinical Social Worker 6002251956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16344CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology & Counseling Associates, PC CurrentSince Dec 24, 2023 Accepting new patients

Locations

555 Second Ave
Ste G120
Collegeville, PA 19426
Phone (610) 489-6240

2091 E High St
Pottstown, PA 19464
Phone (610) 970-5234

Organizations & group practices 1

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801934732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 STANSBURY AVE UNIT 106",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234249",
            "telephone_number": "818-624-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 STANSBURY AVE UNIT 106",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234249",
            "telephone_number": "818-624-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCS16344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.