Michelle C McDonald, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

219153 Issued in MA

Practice address

4 S Main St
Ipswich, MA 01938-2345

Phone

(978) 704-1212

Fax

(978) 338-4054

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

Yes

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.

• Corf Psychology Group LLC

  • Clinical Social Worker
  • Ipswich, MA
  • NPI 1962013235

  MA

  Medicare reassignment Care Compare group Authorized official

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Corf Psychology Group LLC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

• Michelle L Corf Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2020.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1962841999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST STE 9",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-041-2127",
            "fax_number": "978-338-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-704-1212",
            "fax_number": "978-338-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219153",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CORF",
            "middle_name": "L",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mann Dental Group Inc
• Sharanjot Mann, DMD
• Michael Martin
• Karen Elaine Mason, PH.D.
• Francis V McDermott III, MD
• Mary M McGuire, LICSW
• Thomas Melanson III, DPT
• Beverly Braasch Messina, RPH
• Kayla Michelle Messina, PA
• Kelley Michael, ATC, LMT

• All providers in Ipswich, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.