Active NPI
Devorah Ellen Donato, LCSW
- Clinical Social Worker
- Waterbury, CT
National Provider Identifier
1467524645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002463
- Practice address
- 55 West Main Street
Suite 410 Western Connecticut Mental Health Network
Waterbury, CT 06702 - Phone
- (203) 805-6408
- Fax
- (203) 805-6432
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002463 | CT | Primary |
Addresses
Primary practice location
55 West Main Street
Suite 410 Western Connecticut Mental Health Network
Waterbury, CT 06702
Mailing address
55 West Main Street
Suite 410 Western Connecticut Mental Health Network
Waterbury, CT 06702
Phone (203) 805-6408
Other names 1
- Devorah Ellen Hawkins Siegel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467524645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATO",
"first_name": "DEVORAH",
"middle_name": "ELLEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEVORAH",
"last_name": "HAWKINS SIEGEL",
"middle_name": "ELLEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.