Donna J Nicholas, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Spencer, IN
NPI 1235115353 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1235115353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34001239A (IN)
- Practice address
- 272 N US Highway 231
Spencer, IN 47460-6635 - Phone
- (812) 829-4871
- Fax
- (812) 829-0758
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Point, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001239A | IN | Yes |
Addresses
Primary practice location
272 N US Highway 231
Spencer, IN 47460-6635
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
Other names
- Donna J Keller
Other providers in Spencer, IN
- Muzzy H Mortimer
- Genevieve Muscatell
- Myeyedr Optometry of Indiana, LLC
- National Mentor Healthcare LLC
- Tammi Nelson
- Candice Lynn Olund
- Options for Better Living, Inc
- Ossip Optometry, P.C
- Owen County Emergency Medical Services
- Owen County Family Young Men'S Christian Association
All providers in Spencer, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.