Individual provider Active NPI

Donna Lynne Dover, LCSW

  • Clinical Social Worker
  • Exeter, CA
National Provider Identifier
1114067584
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW71009 Issued in CA
Practice address
29525 Road 217
Exeter, CA 93221-9720
Phone
(559) 594-8072
NPI assigned
Feb 7, 2007
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP 00005969 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X LCI11280418 CA
Clinical Social Worker 1041C0700X LW 60118600 WA
Clinical Social Worker 1041C0700X LCSW71009 CA Primary

Addresses

Primary practice location

29525 Road 217
Exeter, CA 93221-9720

Mailing address

29525 Road 217
Exeter, CA 93221-9720
Phone (559) 492-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240708001517 CA Practitioner - Clinical Social Worker 9537295860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for New Directions IncGroup PAC ID 9335475870, 32 clinicians

Practice addresses (Care Compare)

23201 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-7906
Phone (888) 795-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCI11280418CAMDAddiction (Substance Use Disorder) Counselor
CP 00005969WAMDAddiction (Substance Use Disorder) Counselor
LCSW71009CAMDClinical Social Worker
LW 60118600WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince May 11, 2024 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc Clinical PastSince Dec 25, 2018 Accepting new patients
Seattle Counseling Center PastSince Dec 4, 2013 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

27201 Tourney Rd
Ste 206
Valencia, CA 91355

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1114067584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 ROAD 217",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932219720",
            "telephone_number": "559-492-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 ROAD 217",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932219720",
            "telephone_number": "559-594-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "DONNA",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00005969",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LCI11280418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60118600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

Verify at the official NPI Registry.