Suzanne Donovan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083400 Issued in NY

Practice address

2805 Wehrle Dr Ste 1
Williamsville, NY 14221-7383

Phone

(716) 863-6164

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1871151373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAGRUM LN",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140864462",
            "telephone_number": "716-863-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 WEHRLE DR STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217383",
            "telephone_number": "716-863-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenico M Berardi, DDS PC
• Anthony J Domenico, DDS
• Ryan Christopher Dominguez, DPT
• Jessen Rebekah Donlon
• Shannon Charmaine Donovan, FNP
• David John Dormandy Jr., D.O
• Jack William Dormer, PA
• Penny Dortch, LPN
• David R Dougherty, DO
• Jacquelyn M Dougherty, OD

• Clinical Social Worker in Williamsville, NY
• Providers in Williamsville, 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 May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.