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SHANE WILLIAM MACDONALD LCSW
NPI 1174124226
Social Worker in Medford, MA

Active since November 05, 2020
20 STEARNS AVE, MEDFORD, MA 02155(860) 964-9398 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane William Macdonald Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE WILLIAM MACDONALD LCSW (NPI 1174124226) is an individual social worker in Medford, Massachusetts, licensed in Massachusetts (223903) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1174124226
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameSHANE WILLIAM MACDONALDCredential: LCSW
Location Address20 STEARNS AVEMedford, MA 02155-5620
Mailing Address20 Stearns AveMedford, MA 02155-5620 · (860) 964-9398
Phone(860) 964-9398
Sole ProprietorYes
Enumeration DateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
✔ NPI 1174124226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 223903
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

20 STEARNS AVE, Medford, MA 02155
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Frequently Asked Questions

What is Shane Macdonald's NPI number?

The NPI number assigned to this healthcare provider is 1174124226, enumerated as an "individual" on November 05, 2020.

Where is the provider located?

The provider is located at 20 STEARNS AVE MEDFORD, MA 02155 and the phone number is (860) 964-9398.

What is the provider's specialty?

Social Worker with taxonomy code 104100000X.