Individual provider Active NPI

Donna Lee Rethemeyer, LCSW

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1730102187
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2105 Issued in FL
Practice address
595 W Granada Blvd
Suite 2E
Ormond Beach, FL 32174-5190
Phone
(386) 672-4222
Fax
(386) 672-8855
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2105 FL Primary

Addresses

Primary practice location

595 W Granada Blvd
Suite 2E
Ormond Beach, FL 32174-5190

Mailing address

352 Hickory Hill PL
Ormond Beach, FL 32174-4858
Phone (386) 453-8983

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2105FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yorkshire Mental Health Enterprises PA Clinical Past Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1730102187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HICKORY HILL PL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744858",
            "telephone_number": "386-453-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE 2E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-672-4222",
            "fax_number": "386-672-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETHEMEYER",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.