Active NPI
Lisa Donath, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1649423997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080474
- Practice address
- 19 W 34TH St
Penthouse
New York, NY 10001-3006 - Phone
- (952) 240-4999
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 075944-1 | NY | |
| Clinical Social Worker | 1041C0700X | 080474 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St
Penthouse
New York, NY 10001-3006
Mailing address
19 W 34TH St
Penthouse
New York, NY 10001-3006
Phone (952) 240-4999
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 |
|---|---|---|---|
| 075944-1 | NY | MD | Social Worker |
| 080474 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1649423997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "952-240-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "952-240-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATH",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075944-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.