Individual provider Active NPI

Donna Johnston, MSW

  • Clinical Social Worker
  • Danielson, CT
National Provider Identifier
1780920215
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009050 Issued in CT
Practice address
70 Cottage Street
Danielson, CT 06239
Phone
(860) 774-2015
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 009050 CT Primary

Addresses

Primary practice location

70 Cottage Street
Danielson, CT 06239

Mailing address

70 Cottage Street
Danielson, CT 06239
Phone (860) 774-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160701000805 CT Practitioner - Clinical Social Worker 6103118625 Reassigns benefits to 2 organizations
I20240719002139 NC Practitioner - Clinical Social Worker 6103118625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

238 W Town St
Norwich, CT 06360-2111
Phone (860) 204-2933

507 SW Ridge Dr
Richlands, NC 28574-8444
Phone (860) 204-2933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009050CTMDOral and Maxillofacial Surgery (Dentist)
9050CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Healing Indigo Wisdom Professional Counseling LLC Clinical CurrentSince Feb 28, 2019 Accepting new patients
Inlight Professional Counseling Services LLC CurrentSince Apr 2, 2016 Accepting new patients
Parham Counseling Services, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

70 Cottage St
Danielson, CT 06239
Phone (860) 774-0215

238 W Town St
Norwich, CT 06360
Phone (860) 204-2933

Organizations & group practices 3

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1780920215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COTTAGE STREET",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "06239",
            "telephone_number": "860-774-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COTTAGE STREET",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "06239",
            "telephone_number": "860-774-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DONNA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

Verify at the official NPI Registry.