Individual provider Active NPI

Donna Bodony, LICSW

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1750422416
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024434 Issued in MA
Practice address
9 Meriam St Ste 26
Lexington, MA 02420-5312
Phone
(781) 258-7311
Fax
(781) 861-7773
NPI assigned
Feb 8, 2007
Last updated
Mar 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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 1024434 MA Primary

Addresses

Primary practice location

9 Meriam St Ste 26
Lexington, MA 02420-5312

Mailing address

2 John Wilson LN
Lexington, MA 02421-6033
Phone (781) 861-1196

Other identifiers 2

IdentifierTypeStateIssuer
339321OtherMATRICARE
P10320OtherMABCBS

Other names 1

  • Donna Cacamis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 11, 2021 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Donna Bodony MSW, Licsw, PC Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: donnabodony@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1750422416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOHN WILSON LN",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216033",
            "telephone_number": "781-861-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MERIAM ST STE 26",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205312",
            "telephone_number": "781-258-7311",
            "fax_number": "781-861-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODONY",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "339321",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P10320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "CACAMIS",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.