Amy Jo Dondanville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10400 Issued in NM

Practice address

224 Ranchitos Rd
Taos, NM 87571-5935

Phone

(575) 224-2710

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1245606649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710537",
            "telephone_number": "575-224-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 RANCHITOS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715935",
            "telephone_number": "575-224-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDANVILLE",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1245606649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Dimond, LPCC
• Elizabeth Dinsmore, PH.D.
• Erin C Doherty
• Larron Stanley Dolence, RPH
• Alexia Dominguez
• William R Dougherty, MD
• Dr Clay N Coleman
• Dreamtree Project
• Sarah Terry Drenning, C-PNP
• Barbara Drew

• Clinical Social Worker in Taos, NM
• Providers in Taos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.