Active NPI
Donna C Bjorkman, LCSW
- Addiction (Substance Use Disorder) Counselor
- Glens Falls, NY
National Provider Identifier
1003055450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 029748
- Practice address
- 55 Elm St
Glens Falls, NY 12801-3549 - Phone
- (518) 793-7273
- Fax
- (518) 798-5004
- NPI assigned
- Feb 9, 2009
- Last updated
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 029748 | NY | Primary |
Addresses
Primary practice location
55 Elm St
Glens Falls, NY 12801-3549
Mailing address
PO Box 31904
Hartford, CT 06150-1904
Phone (518) 952-8140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420800 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2280 Western Ave
Guilderland, NY 12084-9210
2280 Western Ave
Suite 1
Guilderland, NY 12084-9206
Phone 5184565056497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029748 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Behavioral Health LCSW PLLC | Current | Accepting new patients | |
| Conifer Park, Inc. | Past | Accepting new patients | |
| Karner Psychological Associates PC | Past | Accepting new patients | |
| Conifer Park, Inc. | Past | Accepting new patients |
Locations
4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Guilderland, NY
- NPI 1619913258
-
- Clinical Social Worker
- New York, NY
- NPI 1083150056
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Liverpool, NY
- NPI 1366498768
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glens Falls, NY
- NPI 1972558179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1003055450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31904",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061501904",
"telephone_number": "518-952-8140",
"fax_number": "518-952-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 ELM ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013549",
"telephone_number": "518-793-7273",
"fax_number": "518-798-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORKMAN",
"first_name": "DONNA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "029748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.