Active NPI
Marsha Bernadette McDonald, LICSW
- Clinical Social Worker
- Edina, MN
National Provider Identifier
1972616753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14892
- Practice address
- 4005 W 65TH St
122
Edina, MN 55435-1720 - Phone
- (952) 285-2917
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14892 | MN | Primary |
Addresses
Primary practice location
4005 W 65TH St
122
Edina, MN 55435-1720
Mailing address
4005 W 65TH St
122
Edina, MN 55435-1720
Phone (952) 285-2917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6271149 | Other | MN | MEDICA |
| 258P4MC | Other | MN | BLUECROSS BLUESHIELD MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Partnership | Past | Accepting new patients | |
| Marsha McDonald, MSW, Licsw, LLC | Clinical | Past | Accepting new patients |
| Planned Parenthood Minnesota, North Dakota, South Dakota | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Edina, MN
- NPI 1992810303
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
-
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1487708616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972616753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 W 65TH ST",
"address_2": "122",
"city": "EDINA",
"state": "MN",
"postal_code": "554351720",
"telephone_number": "952-285-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 W 65TH ST",
"address_2": "122",
"city": "EDINA",
"state": "MN",
"postal_code": "554351720",
"telephone_number": "952-285-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MARSHA",
"middle_name": "BERNADETTE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6271149",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD MN",
"identifier": "258P4MC",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.