Active NPI
David Ross Donaldson, ACSW,LCSW
- Social Worker
- Chicago, IL
National Provider Identifier
1629006960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3003 W Touhy Ave
Chicago, IL 60645-2833 - Phone
- (773) 508-1129
- Fax
- (773) 262-7084
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
3003 W Touhy Ave
Chicago, IL 60645-2833
Mailing address
540 Hinman Ave
Unit 3
Evanston, IL 60202-4613
Phone (847) 491-1663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-005226 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629006960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HINMAN AVE",
"address_2": "UNIT 3",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024613",
"telephone_number": "847-491-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W TOUHY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606452833",
"telephone_number": "773-508-1129",
"fax_number": "773-262-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "DAVID",
"middle_name": "ROSS",
"name_prefix": "Mr.",
"credential": "ACSW,LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"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 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.