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SUSAN ELAINE MCDONALD PH.D.,LSW
NPI 1184779894
Social Worker - Clinical in Kingston, PA

Active since January 24, 2007Opted out of Medicare · through Oct 15, 2026
311 MARKET STREET, SUITE 6, KINGSTON, KINGSTON, PA 18704(570) 814-0969(570) 514-4918 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Elaine Mcdonald Ph.d.,lsw NPPES

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

SUSAN ELAINE MCDONALD PH.D.,LSW (NPI 1184779894) is an individual clinical provider in Kingston, Pennsylvania, licensed in Pennsylvania (CW024888) and active in the NPI registry since January 2007. She has opted out of Medicare through October 15, 2026.

NPPES Registry Identity

NPI1184779894
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN ELAINE MCDONALDCredential: PH.D.,LSW
Location Address311 MARKET STREET, SUITE 6, KINGSTONKingston, PA 18704-5068
Mailing Address230 Wyoming AveKingston, PA 18704-3535 · (570) 814-0969
Phone(570) 814-0969
Fax(570) 514-4918
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 12, 2025
✔ NPI 1184779894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW024888
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License SW007916L (PA)
311 MARKET STREET, SUITE 6, Kingston, PA 18704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Elaine Mcdonald Ph.d.,lsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mcdonald's NPI number?

The NPI number for Susan Mcdonald is 1184779894. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Susan Mcdonald located?

Susan Mcdonald practices at 311 Market Street, Suite 6 Kingston, Kingston, PA 18704. The listed phone number is (570) 814-0969.

What is Susan Mcdonald's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Susan Mcdonald enrolled in Medicare?

No. Susan Mcdonald has opted out of Medicare through October 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Mcdonald was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.