Individual provider Active NPI

Bridget Clare Donnelly

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1609552256
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027575 Issued in IL
Practice address
2015 W Dickens Ave Apt G
Chicago, IL 60647-4530
Phone
(219) 728-8644
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.027575 IL Primary

Addresses

Primary practice location

2015 W Dickens Ave Apt G
Chicago, IL 60647-4530

Mailing address

2015 W Dickens Ave Apt G
Chicago, IL 60647-4530
Phone (219) 728-8644

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.027575ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandstone Therapy Chicago PLLC CurrentSince Jan 19, 2025 Accepting new patients
Celia Webb, LPC CurrentSince Dec 22, 2024 Accepting new patients

Locations

6065 Roswell Rd
Ste 960
Sandy Springs, GA 30328
Phone (404) 919-7241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1609552256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W DICKENS AVE APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474530",
            "telephone_number": "219-728-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W DICKENS AVE APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474530",
            "telephone_number": "219-728-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "BRIDGET",
        "middle_name": "CLARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.