Individual provider Active NPI

Maryclare Donaldson

  • Social Worker
  • Florence, KY
National Provider Identifier
1891494027
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
259065 Issued in KY
Practice address
71 Cavalier Blvd Ste 319
Florence, KY 41042-5172
Phone
(859) 363-6026
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1200418 OH
Health & Wellness Coach 171400000X
Social Worker 104100000X 259065 KY Primary

Addresses

Primary practice location

71 Cavalier Blvd Ste 319
Florence, KY 41042-5172

Mailing address

3525 Myrtle Ave
Covington, KY 41015-1570
Phone (859) 445-2535

Other practice location 1

431 Ohio Pike Ste 171
Cincinnati, OH 45255-3630
Phone (859) 445-2535

Other practice location 2

3525 Myrtle Ave
Covington, KY 41015-1570
Phone (859) 445-2535

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
259065KYMDSocial Worker
S.1200418OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1891494027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 MYRTLE AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151570",
            "telephone_number": "859-445-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 319",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425172",
            "telephone_number": "859-363-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Ohio Pike Ste 171",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553630",
            "country_code": "US",
            "telephone_number": "859-445-2535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410151570",
            "country_code": "US",
            "telephone_number": "859-445-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "MARYCLARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1200418",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "259065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.