Individual provider Active NPI

Donna Joanna Haros, LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1861573487
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031671 Issued in MA
Practice address
22 Mill St
Suite 305
Arlington, MA 02476
Phone
(617) 855-3218
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 1031671 MA Primary

Addresses

Primary practice location

22 Mill St
Suite 305
Arlington, MA 02476

Mailing address

22 Mill St
Suite 305
Arlington, MA 02476
Phone (617) 855-3218

Other names 1

  • Donna J Haros Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 14, 2017 through Jul 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031671MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1861573487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 305",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02476",
            "telephone_number": "617-855-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 305",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02476",
            "telephone_number": "617-855-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROS",
        "first_name": "DONNA",
        "middle_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HAROS",
            "middle_name": "J",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.