Ailish Kathleen Donovan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117284 Issued in MA

Practice address

11 Shattuck St
Worcester, MA 01605-3650

Phone

(508) 769-2856

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ailish Kathleen McShea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1740762319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STEPPINGSTONE DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201783",
            "telephone_number": "774-232-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHATTUCK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053650",
            "telephone_number": "508-769-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 2nd Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511144",
            "country_code": "US",
            "telephone_number": "508-769-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "AILISH",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILISH",
            "last_name": "MCSHEA",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Kay Rest Home, Inc
• Mary Louise Donnelly
• Noah Donoghue, MD
• Dawn Donohue
• Moira Anne Donohue
• Antoinette Donovan
• Jennifer L Donovan, PHARM.D.
• Justin Donovan, PSYD
• Katelynn Donovan
• Kellie Evelyn Donovan

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.