Susan C. Donnelly, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8891-123 Issued in WI

Practice address

191 N Broadway Unit 205
Milwaukee, WI 53202-6031

Phone

(248) 515-7484

NPI assigned

May 10, 2020

Last updated

May 10, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1255953527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N BROADWAY UNIT 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026031",
            "telephone_number": "248-515-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N BROADWAY UNIT 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026031",
            "telephone_number": "248-515-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8891-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Donisch, PHD, MSPH
• Donna Pitter MD
• Donnafit4Life LLC
• Robert F Donnell, MD
• Melanie Julia Donnelly, MD
• Tara R Donnelly
• Neil F. Donner, MD
• Michael Donohoo, DDS
• Patricia A Donohoue, MD
• Joseph Donohue

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.