Michael Donnelly, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005577 Issued in NC

Practice address

8562 NC Highway 105 S Unit 102
Boone, NC 28607-7879

Phone

(828) 333-4170

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Donnelly Psychotherapy Services, PLLC

  • Mental Health Counselor
  • Newland, NC
  • NPI 1841138732
  NPD Authorized official
• Better Days and Nights, PLLC

  • Professional Counselor
  • Boone, NC
  • NPI 1275091027
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1447374723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE # 2",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128976",
            "telephone_number": "336-546-8924",
            "fax_number": "336-306-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 NC HIGHWAY 105 S UNIT 102",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077879",
            "telephone_number": "828-333-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106654",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1465J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DLP Frye Medical Group LLC (FryeCare Family Practice Boone)
• Jeanne Dodd-Murphy, PHD, CCCIA, FAAA
• Dogwood Psychiatry PLLC
• Ryan Lee Dollar
• Don Campany Counseling Services
• Doreen Day Holloway,DC, P.a.
• Ruth Dotson, P.A.-C
• Michal E Douglas, MD
• Cynthia Marie Downes, M.D.
• DRS Scheffler & Whiteley

• Clinical Social Worker in Boone, NC
• Providers in Boone, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.