Healthcare Provider Details

I. General information

NPI: 1336276997
Provider Name (Legal Business Name): JAMES W. MCDONALD LCSW, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 CLOVIS AVE STE 201
CLOVIS CA
93612-1115
US

IV. Provider business mailing address

264 CLOVIS AVE STE 201
CLOVIS CA
93612-1115
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-6534
  • Fax: 530-622-2793
Mailing address:
  • Phone: 559-324-6534
  • Fax: 530-622-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCS7921
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT5215
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: