Individual provider Active NPI

Goldye P Donner, LCSW

  • Clinical Social Worker
  • Springfield, VA
National Provider Identifier
1255310892
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000068 Issued in VA
Practice address
6120 Brandon Ave
#116
Springfield, VA 22150-2522
Phone
(703) 569-6492
Fax
(703) 569-0428
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 0904000068 VA Primary
Clinical Social Worker 1041C0700X LC300065 DC

Addresses

Primary practice location

6120 Brandon Ave
#116
Springfield, VA 22150-2522

Mailing address

6120 Brandon Ave
Ste116
Springfield, VA 22150
Phone (703) 569-6492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000359 DC Practitioner - Clinical Social Worker 7214003078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6120 Brandon Ave
Suite 116
Springfield, VA 22150-2504
Phone (703) 569-6492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC300065DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goldye P Donner PC Clinical CurrentSince May 1, 1991 Accepting new patients

Locations

6120 Brandon Ave
Ste 116
Springfield, VA 22150
Phone (703) 569-6492

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1255310892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "STE116",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22150",
            "telephone_number": "703-569-6492",
            "fax_number": "703-569-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "#116",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-569-6492",
            "fax_number": "703-569-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "GOLDYE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000068",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.