MEDICARE: RENEE MACDONALD LCSW

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

General Provider Information

NPI Number	:	1811989601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MACDONALD LCSW

Provider Business Mailing Address
First Line	:	PO BOX 82
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-0082
Country	:	US
Telephone Number	:	845-625-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1285 ROUTE 9 STE 7
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4993
Country	:	US
Telephone Number	:	845-625-3695
Fax Number	:

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	02/18/2025

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