Individual provider Active NPI

Kate Donnally, LCSW

  • Clinical Social Worker
  • Morrisville, VT
National Provider Identifier
1912295965
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0076013 Issued in VT
Practice address
200 Park St
Morrisville, VT 05661-9098
Phone
(802) 730-9086
NPI assigned
Jul 12, 2011
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 089-0076013 VT Primary

Addresses

Primary practice location

200 Park St
Morrisville, VT 05661-9098

Mailing address

PO Box 394
Hyde Park, VT 05655-0394
Phone (802) 730-9086

Other identifiers 1

IdentifierTypeStateIssuer
1019323MedicaidVT

Other names 1

  • Katherine Donnally Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20110916000185 VT Practitioner - Clinical Social Worker 4183895469 Reassigns benefits to 1 organization
Practice locations: Morrisville, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Park St
Morristown, VT 05661-9098
Phone (802) 777-8148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0076013VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kate Donnally Licsw, LLC Clinical Current Accepting new patients
The Richford Health Center Inc Past Accepting new patients
The Richford Health Center Inc PastSince Sep 5, 2023 Accepting new patients

Locations

200 Park St
Morrisville, VT 05661
Phone (802) 274-9399

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1912295965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056550394",
            "telephone_number": "802-730-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619098",
            "telephone_number": "802-730-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNALLY",
        "first_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0076013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019323",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DONNALLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.