Mcdonald, Wendy
Mcdonald, Wendy is an individual health care provider with primary practice located at Va Boston Healthcare System 940 Belmont Street, Brockton MA 02301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcdonald, Wendy can be contacted via phone (774) 826-3694.Contact Information
Primary practice address
Va Boston Healthcare System 940 Belmont Street
Brockton MA 02301
Phone: (774) 826-3694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / School | 1041S0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 112101 | Massachusetts |
Profile Details
| NPI number | 1255401188 |
|---|---|
| LBN Legal business name | Mcdonald, Wendy |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Oct 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255401188 | NPPES |
| Massachusetts | Other | 112101 | COMMONWEALTH OF MA, DIVISION OF PROFESSIONAL LICENSURE, BOARD OF SOCIAL WORKERS |
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