MEDICARE: SCOTT MACDONALD

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	CSW.09933199	CO

General Provider Information

NPI Number	:	1033042320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT MACDONALD

Provider Business Mailing Address
First Line	:	2342 N BROADWAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2178
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2342 N BROADWAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2178
Country	:	US
Telephone Number	:	303-292-1018
Fax Number	:

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

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ SCOTT MACDONALD ” Practice Location

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