Jennifer L Donovan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

092265 Issued in NY

Practice address

341 W Main St
Catskill, NY 12414-1621

Phone

(518) 719-1440

NPI assigned

Sep 18, 2019

Last updated

Dec 15, 2021By 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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1508416868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MANSION ST",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121929709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W MAIN ST",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141621",
            "telephone_number": "518-719-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102692",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanice Davis, LMSW
• Bradley Demetriou
• Pamela Jean Desimone, OPTICIAN
• Donald J Cally M.D. P.C.
• Westin A Doney, DDS
• Farriangie Dorce, MD
• Dr. Christine M Scrodanus
• Elaine Dykeman
• Eden Park Health Services, Inc.
• Douglas S Engel, LCSW

• Social Worker in Catskill, NY
• Providers in Catskill, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.