Active NPI
Paul Edward Donato, MSW
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1689799751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05567
- Practice address
- 21 Industrial Park Dr
202F
Waldorf, MD 20602-2751 - Phone
- (301) 848-0461
- Fax
- (301) 885-0922
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05567 | MD | Primary |
Addresses
Primary practice location
21 Industrial Park Dr
202F
Waldorf, MD 20602-2751
Mailing address
601 Post Office Rd
Ste 2D
Waldorf, MD 20602-1912
Phone (301) 848-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000640 | MD | Practitioner - Clinical Social Worker | 3678739745 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coquus
Practice addresses (Care Compare)
601 Post Office Rd
Waldorf, MD 20602-1912
Phone (301) 848-0461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05567 | MD | MD | Speech-Language Pathologist |
Organizations & group practices 1
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": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1689799751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 POST OFFICE RD",
"address_2": "STE 2D",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021912",
"telephone_number": "301-848-0461",
"fax_number": "301-885-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 INDUSTRIAL PARK DR",
"address_2": "202F",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022751",
"telephone_number": "301-848-0461",
"fax_number": "301-885-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATO",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.