MICHAEL J MCDONAGH (LISW) – Professional Counselor, NPI 1760706048

MICHAEL J MCDONAGH (LISW) is a healthcare provider. based in Youngstown, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I.2102967 (OH). The NPI Number for MICHAEL J MCDONAGH (LISW) is 1760706048

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J MCDONAGH (LISW)
NPI
1760706048
Phone
(330) 782-5664
Address
535 MARMION AVE
Enumeration Date
16 March 2010
Last Update Date
25 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303553234
Graduation Year
2010 (16 years ago)
PAC ID
8921406406
Group Practice PAC ID
5193180446
Professional Enrollment ID
I20211013003753
Address ID
OH444841974WA321XXNEXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MICHAEL J MCDONAGH (LISW)

  • 535 MARMION AVE

    YOUNGSTOWN, OH 445022323

    Phone: (330) 782-5664

    Type: Mailing

  • 142 JAVIT CT

    YOUNGSTOWN, OH 445152409

    Phone: (330) 793-2487

    Fax: (330) 793-4559

    Type: Mailing

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: 2021-10-13

PECOS data refreshed: 2026-05-27

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
I20211013003753IClinical Social WorkerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy2911$0
View full utilization report →

Insurance plans in this area (ZIP 44502)

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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: 5193180446View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up MICHAEL J MCDONAGH (LISW) by NPI?
Use NPI 1760706048 when you need to reference MICHAEL J MCDONAGH (LISW) in forms, claims, or directories.
Does this profile mean MICHAEL J MCDONAGH (LISW) is currently active?
Yes — MICHAEL J MCDONAGH (LISW) appears active in the national provider directory.
What field does MICHAEL J MCDONAGH (LISW) work in?
You can think of MICHAEL J MCDONAGH (LISW) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MICHAEL J MCDONAGH (LISW)'s primary listing?
We display Youngstown, Ohio because that is what the record indicates for MICHAEL J MCDONAGH (LISW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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