Donna N. Sewell, LCSW
Individual provider Active NPI Clinical Social Worker · Edwards Afb, CA
NPI 1225263239 · NPPES record last updated Jan 15, 2016
Key facts
- NPI
- 1225263239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW003818 (GA)
- Practice address
- 412 TH Medical Group SGHC
30 Nightingale Road
Edwards Afb, CA 93524-1730 - Phone
- (404) 245-1344
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 1429
Salisbury, NC 28145
PO Box
Suite 1429
Salisbury, NC 28145-1429
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, FL, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618002038 | DC | Practitioner - Clinical Social Worker | 6002960614 | Reassigns benefits to 1 organization |
| I20250701004535 | FL | Practitioner - Clinical Social Worker | 6002960614 | |
| I20250905000257 | VA | Practitioner - Clinical Social Worker | 6002960614 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Mind Mental Health Physicians, Inc. | Clinical | Current |
Accepting new patients |
Locations
1200 G St NW
Ste 800
Washington, DC 20005
Phone (202) 630-2519
1717 N St NW
Ste 1
Washington, DC 20036
Phone (202) 519-8867
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
5900 Balcones Dr
Ste 100
Austin, TX 78731
8401 Mayland Dr
Ste A
Richmond, VA 23294
Phone (703) 859-2848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003818 | GA | Yes |
Addresses
Primary practice location
412 TH Medical Group SGHC
30 Nightingale Road
Edwards Afb, CA 93524-1730
Mailing address
1016 Garrett Drive
Birmingham, AL 35235
Phone (404) 245-1344
Other providers in Edwards Afb, CA
- Brandon John Potters
- Alicia Raschke
- Joel David Reyes
- Crystal Annette Rydalch
- Jerel Devere Scarberry
- Jordan Lee Simonson
- Cynthia F Siqueiros
- Richard Lee Stahlman
- Jonathan A Stering
- Stephen John Sullivan Jr.
All providers in Edwards Afb, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.