Individual provider Active NPI

Elaine P Donaghue, RN LCSW ACSW

  • Registered Nurse
  • Boynton Beach, FL
National Provider Identifier
1104952613
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN579382 Issued in FL
Practice address
115 W Woolbright Rd BLDG 2
Boynton Beach, FL 33435-5908
Phone
(561) 732-5006
Fax
(561) 736-8224
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4422 FL
Registered Nurse 163W00000X RN579382 FL Primary

Addresses

Primary practice location

115 W Woolbright Rd BLDG 2
Boynton Beach, FL 33435-5908

Mailing address

3 Harbour Drive South BLDG Two
Ocean Ridge, FL 33435
Phone (561) 732-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108000882 FL Practitioner - Clinical Social Worker 1658506191 Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 E Atlantic Ave
Suite B 4
Delray Beach, FL 33483-5352
Phone (561) 279-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
SW4422FLMDClinical Social Worker
RN579382FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elaine M Donaghue LCSW, Acsw, RN, LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104952613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HARBOUR DRIVE SOUTH BLDG TWO",
            "city": "OCEAN RIDGE",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-732-5006",
            "fax_number": "561-736-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W WOOLBRIGHT RD BLDG 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355908",
            "telephone_number": "561-732-5006",
            "fax_number": "561-736-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGHUE",
        "first_name": "ELAINE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "RN LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4422",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN579382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.