Donna Faith Lupatkin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104811 Issued in MA

Practice address

233 Harvard St
Suite 36
Brookline, MA 02446-5069

Phone

(781) 942-6311

Fax

(617) 232-4145

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 21, 2015 through Oct 21, 2027

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.

• Paula Koren, Licsw LLC

  • Clinical Social Worker
  • Brookline, MA
  • NPI 1891145215
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528091865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HARVARD ST",
            "address_2": "SUITE 36",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465069",
            "telephone_number": "781-942-6311",
            "fax_number": "617-232-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HARVARD ST",
            "address_2": "SUITE 36",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465069",
            "telephone_number": "781-942-6311",
            "fax_number": "617-232-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPATKIN",
        "first_name": "DONNA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LUPO2956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Lucak, PA-C
• Emily Berthe Luckett, M.S.W., L.I.C.S.W.
• Jacob Ludwig, DPT
• David Lawrence Luftman, M.D., M.P.H.
• Emily Lunardi, LMHC, RDT
• Richard William Lupatkin, ED.D., LMHC
• Amanda Lussier, BCBA
• Noa Lustgarten, PT
• Luxottica of America Inc.
• Donna F Lyder, PMH, CNS-BC

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.