Active NPI
Elizabeth Donahue, MSW, LICSW
- Clinical Social Worker
- South Burlington, VT
National Provider Identifier
1194234567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0112985
- Practice address
- 75 San Remo Dr
South Burlington, VT 05403-6385 - Phone
- (802) 658-9440
- NPI assigned
- Sep 28, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0112985 | VT | Primary |
Addresses
Primary practice location
75 San Remo Dr
South Burlington, VT 05403-6385
Mailing address
208 Flynn Ave
Burlington, VT 05401-5429
Other practice location 1
1138 Pine St
Burlington, VT 05401-5353
Phone (802) 488-6000
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Center Inc | Past | Accepting new patients |
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, 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": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194234567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 FLYNN AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SAN REMO DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036385",
"telephone_number": "802-658-9440"
}
],
"practiceLocations": [
{
"address_1": "1138 Pine St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054015353",
"country_code": "US",
"telephone_number": "802-488-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONAHUE",
"first_name": "ELIZABETH",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0112985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
- Cara Dimasi, N.P.
- Mark Chipman Dobson, DTR
- Doctor Elizabeth Jensen Psychiatry Professional Corporation (Jensen Psychiatry)
- Susan Dodge, P.T.
- Sara Doll, M.S. ED. CCC-SLP
- Dorset Street Dermatology
- Dorset Street Family Dental PLC
- Stephanie Kay Douglas, PT
- Callie Douglass, MA
- Dr. Kenneth J. Stavisky, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.