MEDICARE: JAMES W. MCDONALD LCSW, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LCS7921	CA
2	106H00000X	Marriage & Family Therapist	LMFT5215	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LMFT5215	OTHER	CA	LICENSE
2	LCS7921	OTHER	CA	LICENSE

General Provider Information

NPI Number	:	1336276997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES W. MCDONALD LCSW, LMFT

Provider Business Mailing Address
First Line	:	264 CLOVIS AVE STE 201
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-1115
Country	:	US
Telephone Number	:	559-324-6534
Fax Number	:	530-622-2793

Provider Business Practice Location Address
First Line	:	264 CLOVIS AVE STE 201
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-1115
Country	:	US
Telephone Number	:	559-324-6534
Fax Number	:	530-622-2793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/11/2025

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