Individual provider Active NPI

Laura A Donovan, LMFT, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1891702577
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29095 Issued in TX
Practice address
1823 Fortview Rd
Suite 106
Austin, TX 78704-7672
Phone
(512) 731-7141
Fax
(512) 444-6124
NPI assigned
Aug 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29095 TX Primary
Marriage & Family Therapist 106H00000X 3062 TX

Addresses

Primary practice location

1823 Fortview Rd
Suite 106
Austin, TX 78704-7672

Mailing address

5322 Dry Wells Rd
Austin, TX 78749-2236
Phone (512) 892-2978

Other identifiers 5

IdentifierTypeStateIssuer
027614OtherTXMHN
9093559OtherTXPHCS
0007300196OtherTXAETNA US HEALTHCARE
00709EOtherTXBLUE CROSS/BLUE SHIELD
10016916OtherTXAMERIGROUP

Other names 1

  • Laurie Donovan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101220000485 TX Practitioner - Clinical Social Worker 5496943300 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1823 Fortview Road
Suite 106
Austin, TX 78704-7663
Phone (512) 731-7141

5322 Dry Wells Rd
Austin, TX 78749-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29095TXMDClinical Social Worker
3062TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891702577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 DRY WELLS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492236",
            "telephone_number": "512-892-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 FORTVIEW RD",
            "address_2": "SUITE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047672",
            "telephone_number": "512-731-7141",
            "fax_number": "512-444-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "LMFT, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29095",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "027614",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9093559",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0007300196",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00709E",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016916",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "DONOVAN",
            "credential": "LMFT, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.