Donna N. Sewell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003818 Issued in 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

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, FL, VA3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Mind Mental Health Physicians, Inc.

  dba Open Mind Health

  • Clinical Social Worker
  • La Jolla, CA
  • NPI 1093454423

  DC, VA

  Medicare reassignment NPD
• Mind's Eye Enterprises, LLC

  • Preferred Provider Organization
  • Atlanta, GA
  • NPI 1538559729
  Authorized official Same address or phone

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1225263239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 GARRETT DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "404-245-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 TH MEDICAL GROUP SGHC",
            "address_2": "30 NIGHTINGALE ROAD",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935241730",
            "telephone_number": "404-245-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "DONNA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon John Potters, IDC
• Alicia Raschke
• Joel David Reyes, PA-C
• Crystal Annette Rydalch, FNP-C
• Jerel Devere Scarberry, M.D.
• Jordan Lee Simonson, PHD
• Cynthia F Siqueiros
• Richard Lee Stahlman, M.D.
• Jonathan A Stering, D.O
• Stephen John Sullivan Jr., PHARMD.

• Clinical Social Worker in Edwards AFB, CA
• Providers in Edwards AFB, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.