Individual provider Active NPI

Donna M Minor, L.C.S.W.

  • Clinical Social Worker
  • Yorba Linda, CA
National Provider Identifier
1902907884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20869 Issued in CA
Practice address
18200 Yorba Linda Blvd
Suite 405
Yorba Linda, CA 92886-4056
Phone
(714) 970-7237
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20869 CA Primary

Addresses

Primary practice location

18200 Yorba Linda Blvd
Suite 405
Yorba Linda, CA 92886-4056

Mailing address

18299 Laurel View Dr
Yorba Linda, CA 92886-4029
Phone (714) 970-7237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091222000341 CA Practitioner - Clinical Social Worker 3274673389 Practice locations: Yorba Linda, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18289 Laurel View Dr
Yorba Linda, CA 92886-4029
Phone (714) 970-7237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20869CAMDAddiction (Substance Use Disorder) Counselor
LCS20869CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902907884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18299 LAUREL VIEW DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864029",
            "telephone_number": "714-970-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "SUITE 405",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056",
            "telephone_number": "714-970-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.