Nana-Amma Mintaa Owusu-Donkor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001739 Issued in DE

Practice address

1326 S Governors Ave Ste a
Dover, DE 19904-4800

Phone

(302) 246-5527

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exodus Behavioral Health LLCGroup PAC ID 9931514247, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Exodus Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1013535442
  Medicare reassignment Care Compare group NPD
• Exodus Behavioral Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1174152946
  NPD
• Exodus Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1124633656
  NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1952945867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S GOVERNORS AVE STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S GOVERNORS AVE STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044800",
            "telephone_number": "302-246-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-DONKOR",
        "first_name": "NANA-AMMA",
        "middle_name": "MINTAA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dover.support@thriveworks.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1326 S Governors Ave Ste A",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199044800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Marie Ottis, PA-C
• Outpatient Urology Center of Dover, LLC
• Elizabeth Ann Outten, PA-C
• Caitlin Owens
• Afua Owusu-Donkor, PA-C
• Juanita Michelle Owusu
• Aspen Ozer
• Michael Ozer
• James Francis Pacana, R.PH.
• Mildred Yolanda Pagan-Perez, DMD

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.