Active NPI
Jacqueline Emilie Donohue
- Clinical Social Worker
- Littleton, MA
National Provider Identifier
1871682609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107713
- Practice address
- 531 King St
4
Littleton, MA 01460-1279 - Phone
- (978) 952-6336
- Fax
- (978) 952-6226
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 107713 | MA | Primary |
Addresses
Primary practice location
531 King St
4
Littleton, MA 01460-1279
Mailing address
305 Pine St
5
Lowell, MA 01851-3155
Phone (978) 454-1092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108987 | Other | MA | TRICARE |
| P07190 | Other | MA | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling Center | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871682609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 PINE ST",
"address_2": "5",
"city": "LOWELL",
"state": "MA",
"postal_code": "018513155",
"telephone_number": "978-454-1092",
"fax_number": "978-952-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 KING ST",
"address_2": "4",
"city": "LITTLETON",
"state": "MA",
"postal_code": "014601279",
"telephone_number": "978-952-6336",
"fax_number": "978-952-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "JACQUELINE",
"middle_name": "EMILIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "108987",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P07190",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.