Organization Active NPI

Donna Detura LCSW P C

  • Clinical Social Worker
  • Rocky Point, NY
National Provider Identifier
1881046209
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0514981 Issued in NY
Legal business name
DONNA DETURA LCSW P C
Practice address
701 RT 25a
Rocky Point, NY 11778-8894
Phone
(631) 374-9343
Fax
(631) 849-5915
NPI assigned
Jul 9, 2016
Last updated
Jul 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2016

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

Authorized official

Name
Mrs. Donna Detura, LCSWNPI 1740595743
Title
Therapist
Phone
(631) 379-3436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0514981 NY Primary

Addresses

Primary practice location

701 RT 25a
Rocky Point, NY 11778-8894

Mailing address

PO Box 335
Ridge, NY 11961-0335
Phone (631) 379-3436

Other identifiers 1

IdentifierTypeStateIssuer
04154436MedicaidNY

National Provider Directory

National Provider Directory

Locations

701 Route 25A
Rocky Point, NY 11778
Phone (631) 374-9343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468022400000",
    "number": "1881046209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119610335",
            "telephone_number": "631-379-3436",
            "fax_number": "631-849-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 RT 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788894",
            "telephone_number": "631-374-9343",
            "fax_number": "631-849-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA DETURA LCSW P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A",
        "authorized_official_last_name": "DETURA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "631-379-3436",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0514981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04154436",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; 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.