Organization Active NPI

Kathy Donigan, LCSW-C, L.L.C.

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1255875530
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15750 Issued in MD
Legal business name
KATHY DONIGAN, LCSW-C, L.L.C.
Practice address
22655 Washington St
Leonardtown, MD 20650-3848
Phone
(240) 431-1151
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Kathleen Palazuelos Donigan, LCSW-C
Title
Owner
Phone
(240) 431-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15750 MD Primary

Addresses

Primary practice location

22655 Washington St
Leonardtown, MD 20650-3848

Mailing address

PO Box 1213
Leonardtown, MD 20650-1213
Phone (240) 431-1151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260217000458 MD Part B Supplier - Clinic/Group Practice 2264912401 Receives reassigned benefits from 1 practitioner
Practice locations: Leonardtown, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1255875530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501213",
            "telephone_number": "240-431-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22655 WASHINGTON ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503848",
            "telephone_number": "240-431-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY DONIGAN, LCSW-C, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "DONIGAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PALAZUELOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-431-1151",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.