MICHELLE C MCDONALD (LICSW) – Clinical Social Worker, NPI 1962841999

MICHELLE C MCDONALD (LICSW) is a healthcare provider. based in Ipswich, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 219153 (MA). The NPI Number for MICHELLE C MCDONALD (LICSW) is 1962841999

Main info

Female
Sole Proprietor
13 Years Of Experience
Name
MICHELLE C MCDONALD (LICSW)
NPI
1962841999
Phone
(978) 041-2127
Address
4 S MAIN ST STE 9
Enumeration Date
24 June 2013
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787041212
Graduation Year
2013 (13 years ago)
PAC ID
6800148537
Group Practice PAC ID
7012328461
Professional Enrollment ID
I20181009000355
Address ID
MA019382345IP4XXXXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,246 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MICHELLE C MCDONALD (LICSW)

  • 4 S MAIN ST STE 9

    IPSWICH, MA 019382345

    Phone: (978) 041-2127

    Fax: (978) 338-4054

    Type: Mailing

  • 4 S MAIN ST

    IPSWICH, MA 019382345

    Phone: (978) 704-1212

    Fax: (978) 338-4054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181009000355IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012328461View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What NPI should I save for MICHELLE C MCDONALD (LICSW)?
Save NPI 1962841999 if you need a stable reference for MICHELLE C MCDONALD (LICSW).
Is MICHELLE C MCDONALD (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MICHELLE C MCDONALD (LICSW)?
The page reflects Clinical Social Worker for MICHELLE C MCDONALD (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE C MCDONALD (LICSW)?
We surface Ipswich, Massachusetts for MICHELLE C MCDONALD (LICSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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