Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane William Macdonald, LCSW

Individual provider Social Worker · NPI 1174124226

Shane William Macdonald, LCSW is a Social Worker in Medford, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

20 Stearns Ave
Medford, MA 02155-5620
Phone: (860) 964-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 223903 (MA)

Record details

NPI number1174124226
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

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