Individual provider Active NPI

Holly J Donovan, LCSW

  • Clinical Social Worker
  • Essex, VT
National Provider Identifier
1629331665
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14912 Issued in ME
Practice address
4 Carmichael Street, Suite 111
PMB 124
Essex, VT 05452-3195
Phone
(207) 489-4043
NPI assigned
Jun 22, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 LC14912 ME Primary

Addresses

Primary practice location

4 Carmichael Street, Suite 111
PMB 124
Essex, VT 05452-3195

Mailing address

4 Carmichael Street, Suite 111
PMB 124
Essex, VT 05452-3195
Phone (207) 489-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001451 ME Practitioner - Clinical Social Worker 3173855939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37 Mill St
Brunswick, ME 04011-1914
Phone (207) 489-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC14912MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 2, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Sep 25, 2019 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 23, 2020 Accepting new patients
Healing Insights Counseling, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Mainehealth CurrentSince Nov 2, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Jeff Morrill, LCSW, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

21 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7550

10 State Rd
#238
Bath, ME 04530

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

329 Maine St
Ste A200
Brunswick, ME 04011
Phone (207) 373-4700

37 Mill St
Brunswick, ME 04011
Phone (207) 489-4043

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

149 North St
Waterville, ME 04901
Phone (207) 622-1959

4 Carmichael St
Unit 111
Essex Junction, VT 05452
Phone (207) 489-4043

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1629331665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARMICHAEL STREET, SUITE 111",
            "address_2": "PMB 124",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054523195",
            "telephone_number": "207-489-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARMICHAEL STREET, SUITE 111",
            "address_2": "PMB 124",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054523195",
            "telephone_number": "207-489-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, VT

Sources for this page

Verify at the official NPI Registry.