MEDICARE: AMBER TONI MCDONALD

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	1041C0700X	Clinical Social Worker	28531	MD

General Provider Information

NPI Number	:	1487488045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER TONI MCDONALD

Provider Business Mailing Address
First Line	:	PO BOX 748465
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8465
Country	:	US
Telephone Number	:	855-284-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 LIGHTHOUSE PT E STE 220
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-4773
Country	:	US
Telephone Number	:	443-419-7661
Fax Number	:

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

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	09/29/2025

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Directions to “ AMBER TONI MCDONALD ” Practice Location

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