Donna Kelley Mauck, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004291 Issued in VA

Practice address

241 Greenhouse Rd
Lexington, VA 24450-3717

Phone

(540) 463-3141

Fax

(540) 464-4051

NPI assigned

Apr 7, 2006

Last updated

Nov 15, 2007By 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

Other names 1

• Donna Lee Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alleghany Highlands Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, VA
  • NPI 1518055367
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1467415828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GREENHOUSE RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503717",
            "telephone_number": "540-463-3141",
            "fax_number": "540-464-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GREENHOUSE RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503717",
            "telephone_number": "540-463-3141",
            "fax_number": "540-464-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "DONNA",
        "middle_name": "KELLEY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710001198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "KELLEY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amie A Manis, PHD, LPC
• Maple Hall Academy LLC (Maple Hall Academy)
• Katherine Masey, LPC
• Karmen Rizzo Massie, LPC
• Kaitlyn Danielle Masters, COTA/L
• Jennifer Maxwell, RPH
• William Lyle McClung, MD
• Amanda Hartless McComas
• Joanne James McElroy, FAMILY NURSE PRACTIT
• Mary McGuffin Rhoades

• Clinical Social Worker in Lexington, VA
• Providers in Lexington, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.