Active NPI
Donna Detura LCSW P C
- Clinical Social Worker
- Rocky Point, NY
National Provider Identifier
1881046209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0514981
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Detura, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04154436 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Rocky Point, NY
- NPI 1740595743
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.