Individual provider Active NPI

Lauren Donovan, MSW, LCSW

  • Clinical Social Worker
  • Bonita Springs, FL
National Provider Identifier
1205574688
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23078 Issued in FL
Practice address
9200 Bonita Beach Rd SE Ste 109
Bonita Springs, FL 34135-4277
Phone
(239) 235-0524
NPI assigned
May 25, 2022
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 FL
Clinical Social Worker 1041C0700X SW23078 FL Primary

Addresses

Primary practice location

9200 Bonita Beach Rd SE Ste 109
Bonita Springs, FL 34135-4277

Mailing address

9200 Bonita Beach Rd SE Ste 109
Bonita Springs, FL 34135-4277
Phone (239) 235-0524

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

State licenses

LicenseStateTypeSpecialty
SW23078FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Play to Heal Collective, Inc. Clinical Current Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 109
Bonita Springs, FL 34135
Phone (239) 235-0524

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1205574688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 109",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354277",
            "telephone_number": "239-235-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 109",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354277",
            "telephone_number": "239-235-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "LAUREN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.