Kristina M. Donahue, Licsw, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KRISTINA M. DONAHUE, LICSW, LLC

Practice address

226 Lowell St Ste B7
Wilmington, MA 01887-3073

Phone

(978) 307-4500

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina M Donahue, LICSWNPI 1710267455

Title

Clinical Social Worker

Phone

(978) 307-4500

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Martin Donahue

  • Clinical Social Worker
  • Acton, MA
  • NPI 1710267455
  NPD Authorized official

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1700475381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073",
            "telephone_number": "978-307-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA M. DONAHUE, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "978-307-4500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney King, AGNP-C
• Daniel John King, DMD
• Patrick Kisitu
• Alusine Koroma
• Naomi Rose Kramer, MS, CCC-SLP
• Erica Kurtin, PT
• Margaret Kyakuwa
• Karyn Elizabeth Labrecque, M.S., L.M.H.C.
• Lady Grace Stores
• Kristen Marie Lambert, RN BSN CPN

• Adolescent and Children Mental Health Clinic/Center in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Adolescent and Children Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.