Active NPI
Kate Irene O'Donnell, LMSW
- Clinical Social Worker
- Dayton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110799
- Practice address
- 12914 Cherry Point Dr
Dayton, TX 77535-5657 - Phone
- (610) 314-8111
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110799 | TX | Primary |
| Social Worker | 104100000X | 110799 | TX |
Addresses
Primary practice location
12914 Cherry Point Dr
Dayton, TX 77535-5657
Mailing address
12914 Cherry Point Dr
Dayton, TX 77535-5657
Phone (610) 314-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926000276 | TX | Practitioner - Clinical Social Worker | 2668977083 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Care LLC
Practice addresses (Care Compare)
699 W Campus Dr
Crane, TX 79731-2402
Phone (718) 506-1115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110799 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care LLC | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
699 W Campus Dr
Crane, TX 79731
Phone (432) 558-3400
1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366
6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137
825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660
7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763251200000",
"number": "1013775402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12914 CHERRY POINT DR",
"city": "DAYTON",
"state": "TX",
"postal_code": "775355657",
"telephone_number": "610-314-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12914 CHERRY POINT DR",
"city": "DAYTON",
"state": "TX",
"postal_code": "775355657",
"telephone_number": "610-314-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "KATE",
"middle_name": "IRENE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "110799",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "110799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.