Donna Vanderpoel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6917 Issued in CT

Practice address

Lifebridge Community Services
475 Clinton Ave
Bridgeport, CT 06606

Phone

(203) 368-4291

NPI assigned

Mar 17, 2023

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

Other names 1

• Donna Orsini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1972205706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051700",
            "telephone_number": "203-368-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFEBRIDGE COMMUNITY SERVICES",
            "address_2": "475 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-368-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOEL",
        "first_name": "DONNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ORSINI",
            "credential": "M ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pujitha Vallivedu Chennakesavulu, MD
• Julian Jean Vallon, MD
• Caitlin Van Ess, CRNA
• Christine Elizabeth Vancott, MD
• Cristina Estefania Vander Woude, MD
• Houa Vang, D.C.
• Swarnima Vardhan, MD
• Jennifer Vargas
• Lorena Vasquez
• Christina J Vazquez

• Clinical Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.