Michelle Donovan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009120 Issued in VA

Practice address

4103 Parkedge LN
Annandale, VA 22003-2038

Phone

(703) 403-4778

NPI assigned

Feb 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Shift Happens Therapy Services

  • Adult Mental Health Clinic/Center
  • Falls Church, VA
  • NPI 1720858988
  NPD Authorized official

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1508105701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 PARKEDGE LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032038",
            "telephone_number": "703-403-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 PARKEDGE LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032038",
            "telephone_number": "703-403-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien Hong DO
• Thien Minh DO, M.D.
• Thieu M DO, M.D.
• Lindsey Michelle Capon Dogali, PH.D.
• Denise Donatelli, PSY.D.
• Miranda Dove, MED, EDS, LPC
• Doxa Healthcare Agency LLC
• Dr. Helbing Allergy & Asthma Associates, LTD.
• Drsthelen PC
• Megan Cecilia Duffy

• Clinical Social Worker in Annandale, VA
• Providers in Annandale, 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 Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.