Donna Niblo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7880372 Issued in NY

Practice address

4 Harriman Dr
Orange Intensive Day Treatment, Ou Boces-Arden Hill
Goshen, NY 10924-2410

Phone

(845) 615-0224

Fax

(845) 615-0229

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1821491309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARRIMAN DR",
            "address_2": "ORANGE INTENSIVE DAY TREATMENT, OU BOCES-ARDEN HILL",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-615-0224",
            "fax_number": "845-615-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARRIMAN DR",
            "address_2": "ORANGE INTENSIVE DAY TREATMENT, OU BOCES-ARDEN HILL",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-615-0224",
            "fax_number": "845-615-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBLO",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "7880372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Neustadt, M.D.
• Mariano Nevarez-Tapia Jr., M.D.
• Maristela S. Nevin, P.T.
• New York Chiropractic Healthcare PLLC
• Jeffrey Holmes Newton, M.D.
• Jill Osborne Nichols Feehan, LMSW
• Diana Noger, LCSW
• Frederick E Noll, LCSW
• Caitlin Anne Novielli
• Alexandra Nunez-Gomez

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.