Provider Demographics
NPI:1497539613
Name:MCDONALD, WILLIAM RAY JR (MSW, LSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:RAY
Last Name:MCDONALD
Suffix:JR
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1325
Mailing Address - Country:US
Mailing Address - Phone:570-445-6361
Mailing Address - Fax:
Practice Address - Street 1:509 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-1325
Practice Address - Country:US
Practice Address - Phone:570-445-6361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140595104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker