Individual provider Active NPI

Tara Lynn Donnen, M.S.W.

  • Social Worker
  • Weston, WV
National Provider Identifier
1831432707
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00941580 Issued in WV
Practice address
149 Staunton Dr
Weston, WV 26452-5604
Phone
(304) 269-5510
Fax
(304) 472-0225
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00941580 WV Primary

Addresses

Primary practice location

149 Staunton Dr
Weston, WV 26452-5604

Mailing address

1000 Technology Dr
Ste 2320
Fairmont, WV 26554-8824
Phone (304) 368-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000547 WV Practitioner - Clinical Social Worker 7214177179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

94 W Main St
Buckhannon, WV 26201-2284
Phone (304) 473-2199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00941580WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital of Buckhannon Inc CurrentSince Nov 13, 2023 Accepting new patients

Locations

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

100 W Main St
Buckhannon, WV 26201
Phone (304) 472-7473

21 Auction Ln
Buckhannon, WV 26201
Phone (304) 472-0245

94 W Main St
Buckhannon, WV 26201
Phone (304) 473-2200

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1831432707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TECHNOLOGY DR",
            "address_2": "STE 2320",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548824",
            "telephone_number": "304-368-2740",
            "fax_number": "304-368-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 STAUNTON DR",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264525604",
            "telephone_number": "304-269-5510",
            "fax_number": "304-472-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNEN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00941580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.