Amy Dondanville LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMY DONDANVILLE LCSW, LLC

Practice address

522 Paseo del Pueblo Norte
Taos, NM 87571-5908

Phone

(575) 224-2710

NPI assigned

Apr 24, 2019

Last updated

Jul 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April Bancroft, CREDENTIALING

Title

Dir of Operations

Phone

(505) 384-7352

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Allen Ratliff, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1174943856
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1649834771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710537",
            "telephone_number": "575-224-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 PASEO DEL PUEBLO NORTE",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715908",
            "telephone_number": "575-224-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY DONDANVILLE LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "505-384-7352",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1245606649",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Allen, CCSS
• Allison White Therapy LLC
• Zainab Almaani
• Victor Alvarado
• Amigos Unidos Inc
• Charles W Anderson, MEDICAL DOCTOR
• Dustin B. Anderson, LCSW
• Jill Ansell
• Barbara Apodaca
• Stephanie Appa

• Clinical Social Worker in Taos, NM
• Providers in Taos, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.