Active NPI
Donna Desmond
- Clinical Social Worker
- Beverly, MA
National Provider Identifier
1164901625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 85 Herrick St
Beverly, MA 01915-1790 - Phone
- (978) 922-3000
- NPI assigned
- Aug 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
85 Herrick St
Beverly, MA 01915-1790
Mailing address
85 Herrick St
Beverly, MA 01915-1790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111419 | Other | MA | MA BOARD OF SOCIAL WORK |
| 111419 | Other | MA | BOARD OF SOCIAL WORKERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1164901625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HERRICK ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151790",
"telephone_number": "978-922-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMOND",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BOARD OF SOCIAL WORK",
"identifier": "111419",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORKERS",
"identifier": "111419",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.