Donna Jacobson Christensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002223 Issued in CT

Practice address

55 West Main Street
Suite 410 Western Connecticut Mental Health Network
Waterbury, CT 06702

Phone

(203) 805-6408

Fax

(203) 805-6432

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• WCT Behavioral Health & Medication Management PLLC

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285391474
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881766079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WEST MAIN STREET",
            "address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-805-6408",
            "fax_number": "203-805-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WEST MAIN STREET",
            "address_2": "SUITE 410 WESTERN CONNECTICUT MENTAL HEALTH NETWORK",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-805-6408",
            "fax_number": "203-805-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DONNA",
        "middle_name": "JACOBSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Chirsky
• Aditi Reddy Chittety, M.D.
• Min Gyeong Choi, MD
• Sonnie Chong, LCSW
• Ena Chow, M.D.
• Arabella Christian, D.M.D.
• Marianne Rosa Christiano, LCSW
• Elisha E Christianson, FNP
• Christopher C Randolph
• Priyanka Chugh, MD

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.