Vita Donnelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9109 Issued in LA

Practice address

38 Gelbke Dr
Gretna, LA 70053-4820

Phone

(504) 258-9919

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffcare

  dba JeffCare East Jefferson

  • Federally Qualified Health Center (FQHC)
  • Metairie, LA
  • NPI 1518383785
  Medicare reassignment NPD
• Jeffcare

  dba JeffCare West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1154747327
  NPD

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1992241079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GELBKE DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534820",
            "telephone_number": "504-258-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GELBKE DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534820",
            "telephone_number": "504-258-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "VITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divinthe Training and Consulting Services, LLC
• My DO
• Hattie R. Dobson, APRN
• Doir Medical Services LLC
• Maureen Frederick Dombourian, LCSW
• Keanca Antoinette Doucet
• Betty Jean Dowty, MD, PHD
• Damien Doyle Jr.
• Kervion Doyle
• Lashun Doyle, LAC

• Clinical Social Worker in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.