Individual provider Active NPI

Pamela Donohoe, CAPSW LGSW

  • Clinical Social Worker
  • Hudson, WI
National Provider Identifier
1699136234
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129439-121 Issued in WI
Practice address
2501 Hanley Rd
Suite 202
Hudson, WI 54016-8705
Phone
(715) 381-1980
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 129439-121 WI Primary
Clinical Social Worker 1041C0700X 23453 MN

Addresses

Primary practice location

2501 Hanley Rd
Suite 202
Hudson, WI 54016-8705

Mailing address

2161 100TH St
Somerset, WI 54025-7542
Phone (715) 760-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23453MNMDClinical Social Worker
129439-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix County CurrentSince Jul 17, 2018 Accepting new patients
St Croix County CurrentSince Jul 17, 2018 Accepting new patients
St Croix County Current Accepting new patients
Refresh Midwest Operations, SC Past Accepting new patients

Locations

1752 Dorset Ln
New Richmond, WI 54017
Phone (715) 246-6991

1445 N 4th St
New Richmond, WI 54017
Phone (715) 246-6991

Organizations & group practices 4

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1699136234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 100TH ST",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257542",
            "telephone_number": "715-760-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HANLEY RD",
            "address_2": "SUITE 202",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168705",
            "telephone_number": "715-381-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHOE",
        "first_name": "PAMELA",
        "credential": "CAPSW LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "129439-121",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.