Individual provider Active NPI

Donna Shanor, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1972626042
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41673 Issued in TX
Practice address
3700 S 1St St
Austin, TX 78704-7046
Phone
(512) 735-2400
Fax
(512) 735-2452
NPI assigned
Apr 6, 2007
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 41673 TX Primary

Addresses

Primary practice location

3700 S 1St St
Austin, TX 78704-7046

Mailing address

7000 Woodhue Dr
Austin, TX 78745-5454
Phone (512) 439-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161011000237 TX Practitioner - Clinical Social Worker 0941598791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41673TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ods Care PLLC PastSince Jul 30, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: donna.shanor.1@16041.direct.athenahealth.com

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, 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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1972626042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 WOODHUE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455454",
            "telephone_number": "512-439-8902",
            "fax_number": "512-439-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047046",
            "telephone_number": "512-735-2400",
            "fax_number": "512-735-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANOR",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.