Theresa Marie Donsbach, LCSW
Individual provider Active NPI Clinical Social Worker · Tioga, TX
NPI 1972904480 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1972904480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 57138 (TX)
- Practice address
- 219 Gene Autry Dr
Tioga, TX 76271-3652 - Phone
- (940) 206-3345
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
219 Gene Autry Dr
Suite a
Tioga, TX 76271-3652
Phone (940) 206-3345
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210910000902 | TX | Practitioner - Clinical Social Worker | 4587060991 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW6802 | FL | MD | Clinical Social Worker |
| 57138 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2D Farms Inc. | Clinical | Current |
Accepting new patients |
Locations
120 Stanley Dr
Unit 787
Aubrey, TX 76227
219 Gene Autry Dr
Ste A
Tioga, TX 76271
Phone (940) 206-3345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6802 | FL | |
| Clinical Social Worker | 1041C0700X | 57138 | TX | Yes |
Addresses
Primary practice location
219 Gene Autry Dr
Tioga, TX 76271-3652
Mailing address
PO Box 313
Tioga, TX 76271-0313
Phone (727) 510-4111
Other providers in Tioga, TX
- 2D Farms Inc.
- Jeffrey L. Casart
- John Edmonson
- Sandra Farahani I
- Samuel R Garner
- Healing Springs Ranch
- Sarah Mitchell
All providers in Tioga, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.