Individual provider Active NPI

Timothy C Donovan, MSW LCSW-R ACSW DCSW

  • Clinical Social Worker
  • Oneonta, NY
National Provider Identifier
1952320566
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR032920 Issued in NY
Practice address
75 Chestnut St
First Floor, Suite D
Oneonta, NY 13820-2422
Phone
(607) 432-1607
Fax
(607) 432-1607
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR032920 NY Primary
Clinical Social Worker 1041C0700X 34004228A IN
Clinical Social Worker 1041C0700X I8680 OH

Addresses

Primary practice location

75 Chestnut St
First Floor, Suite D
Oneonta, NY 13820-2422

Mailing address

PO Box 815
Oneonta, NY 13820-0815
Phone (607) 432-1607

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004228AINMDClinical Social Worker
PR032920NYMDClinical Social Worker
I8680OHMDClinical Social Worker
032920NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Care Incorporated Past Accepting new patients
At Home Care Partners, Inc. PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1952320566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138200815",
            "telephone_number": "607-432-1607",
            "fax_number": "607-432-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CHESTNUT ST",
            "address_2": "FIRST FLOOR, SUITE D",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202422",
            "telephone_number": "607-432-1607",
            "fax_number": "607-432-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "MSW LCSW-R ACSW DCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR032920",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004228A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I8680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.