Individual provider Active NPI

Donna Lavonne Sobers

  • Social Worker
  • Lynbrook, NY
National Provider Identifier
1700487394
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110667 Issued in NY
Practice address
157 Hempstead Ave Apt B19
Lynbrook, NY 11563-1602
Phone
(516) 734-1852
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 110667 NY Primary

Addresses

Primary practice location

157 Hempstead Ave Apt B19
Lynbrook, NY 11563-1602

Mailing address

12 Hopatcong Ave
West Hempstead, NY 11552-4346
Phone (516) 734-1852

Other identifiers 1

IdentifierTypeStateIssuer
368435689OtherNYNYS DRIVER LICENSE

Other names 1

  • Donna Lavonne Scott Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110667NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1700487394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOPATCONG AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524346",
            "telephone_number": "516-734-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HEMPSTEAD AVE APT B19",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631602",
            "telephone_number": "516-734-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERS",
        "first_name": "DONNA",
        "middle_name": "LAVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DRIVER LICENSE",
            "identifier": "368435689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SCOTT",
            "middle_name": "LAVONNE",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.