Active NPI
Susan E. Donner, PHD ,LICSW
- Clinical Social Worker
- Sunderland, MA
National Provider Identifier
1831472968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1031027
- Practice address
- 250 N Main St
Sunderland, MA 01375-9572 - Phone
- (413) 397-3431
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031027 | MA | MD | Clinical Social Worker |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1031027 | MA | Primary |
Addresses
Primary practice location
250 N Main St
Sunderland, MA 01375-9572
Mailing address
250 N Main St
Sunderland, MA 01375-9572
Phone (413) 397-3431
NPI Registry JSON
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1831472968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N MAIN ST",
"city": "SUNDERLAND",
"state": "MA",
"postal_code": "013759572",
"telephone_number": "413-397-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N MAIN ST",
"city": "SUNDERLAND",
"state": "MA",
"postal_code": "013759572",
"telephone_number": "413-397-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNER",
"first_name": "SUSAN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHD ,LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1031027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunderland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.