Individual
MAXINE MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW-R, CASAC
Contact information
Practice address
2139 EVERGREEN LN, ONTARIO, NY 14519-9705
(585) 330-8891
Mailing address
2139 EVERGREEN LN, ONTARIO, NY 14519-9705
(585) 330-8891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5134
NY
1041C0700X
Clinical Social Worker
R042699-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110547FK
PREFERRED CARE
NY
Enumeration date
04/18/2006
Last updated
09/11/2025
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