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BARBARA MACDONALD LCSW
NPI 1679377402
Social Worker - Clinical in Virginia Beach, VA

Active since April 02, 2025PECOS EnrolledAccepts Medicare Assignment
2219 WAKE FOREST ST, VIRGINIA BEACH, VA 23451(323) 491-9901 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Barbara Macdonald Lcsw NPPES

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

BARBARA MACDONALD LCSW (NPI 1679377402) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904018156) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679377402
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBARBARA MACDONALDCredential: LCSW
Location Address2219 WAKE FOREST STVirginia Beach, VA 23451-1420
Mailing Address2219 Wake Forest StVirginia Beach, VA 23451-1420 · (323) 491-9901
Phone(323) 491-9901
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1679377402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904018156
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.
2219 WAKE FOREST ST, Virginia Beach, VA 23451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara Macdonald Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163947433
PECOS Enrollment IDI20250418001456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Barbara Macdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid Atlantic Long Term Specialty Care LLC
8.4 mi
Psychiatric/Mental Health
6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 34 clinicians in this Medicare group
NPI 1851909998 (757) 354-2885
SE Virginia Value Based Care, LLC
8.4 mi
Geriatric Medicine
6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
NPI 1225720501 (757) 354-2885

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Barbara Macdonald's NPI number?

The NPI number for Barbara Macdonald is 1679377402. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Barbara Macdonald located?

Barbara Macdonald practices at 2219 Wake Forest St, Virginia Beach, VA 23451. The listed phone number is (323) 491-9901.

What is Barbara Macdonald's specialty?

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

Is Barbara Macdonald enrolled in Medicare?

Yes. Barbara Macdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Barbara Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Macdonald reassigns Medicare benefits to 2 organizations: Mid Atlantic Long Term Specialty Care LLC (Norfolk, VA) and SE Virginia Value Based Care, LLC (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Macdonald accept?

Health plans from Oscar Health list Barbara Macdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barbara Macdonald was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.