Provider Demographics
NPI:1932813722
Name:MCDONALD, WHITNEY A (BSW, MSW, LCSW-A)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:A
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:BSW, MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 BUCKHILL VILLAGE DR APT 204
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8258
Mailing Address - Country:US
Mailing Address - Phone:336-223-2906
Mailing Address - Fax:
Practice Address - Street 1:137 BUCKHILL VILLAGE DR APT 204
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8258
Practice Address - Country:US
Practice Address - Phone:336-223-2906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0186681041C0700X
WASC615480301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical