MRS. SUSAN JOAN DONNELLY (NPI# 1669588968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669588968 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN JOAN DONNELLY |
| Other Name | SUSAN JOAN DONNELLY |
| Credential | LCSW |
| Practice Address |
115 Pine Street Ridgewood NJ 07450 |
| Mailing Address |
115 Pine St Ridgewood NJ 07450-1619 |
| Practice Telephone | 2014470364 |
| Practice Fax Number | 2014452354 |
| Mailing Telephone | 2014470364 |
| Mailing Fax Number | 2014452354 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 44SC00206800 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MALPRACTICE INSURANCE | SWL4705997 | 01 | |
| NJ | LCSW LICENSE | 44SC00206800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953527 | Susan C. Donnelly | Social Worker | 191 N Broadway Unit 205, Milwaukee, WI 53202-6031 | 2020-05-10 |
| 1801910948 | Susan Margaret Donnelly | Pathology | 5301 Limestone Rd Ste 103, Wilmington, DE 19808-1251 | 2007-03-16 |
| 1821138801 | Susan Lynn Donnelly | Occupational Therapist | 11 Farmview Drive, Dix Hills, NY 11746 | 2007-02-07 |
| 1407339708 | Susan Bradway Donnelly | Physical Therapist | 163 Gore St, Cambridge, MA 02141-1119 | 2018-09-12 |
| 1861846917 | Susan Ann Donnelly | Occupational Therapy Assistant | 56 West Frederick Street, Walkersville, MD 21793 | 2016-04-14 |
| 1629127709 | Susan Elizabeth Donnelly | Psychologist | 56730 Calumet Ave, Suite F, Calumet, MI 49913-2968 | 2007-01-09 |
| 1912066614 | Susan Lynn Donnelly | Physical Therapist | 19582 Beach Blvd, Ste 310, Huntington Beach, CA 92648-2996 | 2006-12-08 |
| 1821184656 | Susan L Donnelly | Physician Assistant | 80 Seymour St, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-8000 | 2006-10-05 |
| Street Address |
115 PINE STREET |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679802516 | Jasmine Aloni-cohn | Social Worker | 115 Pine Street, Ridgewood, NJ 07450 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950412 | Madalyn Marie Pinto | Social Worker | 140 Chestnut St Ste 202, Ridgewood, NJ 07450-2536 | 2020-10-21 |
| 1124684535 | Matthew Marco | Social Worker | 2052 Gates Ave, Ridgewood, NY 11385-3027 | 2019-05-13 |
| 1992270060 | So Mie Choo | Social Worker | 328 Stevens Ave, Ridgewood, NJ 07450-5204 | 2018-10-04 |
| 1750883245 | Alexa Courtney Pace | Social Worker | 1614 Weirfield St, Ridgewood, NY 11385-5350 | 2018-03-01 |
| 1801306964 | Laura Woodford | Social Worker | 486 Colonial Rd, Ridgewood, NJ 07450-3426 | 2017-10-03 |
| 1104346717 | Therese M Mierswa | Social Worker | 439 Hillcrest Rd, Ridgewood, NJ 07450-1520 | 2017-06-24 |
| 1598211617 | Anthony Dimitrion | Social Worker | 589 Franklin Tpke Ste 8a, Ridgewood, NJ 07450-1928 | 2016-08-29 |
| 1710371364 | Debra A. Ann Hoffmann | Social Worker | 6708 64th St, Apt 2 Lt, Ridgewood, NY 11385-4632 | 2015-03-22 |
| 1144576687 | Mariana Nashaat Youssef | Social Worker | 706 Woodward Ave, Apartment 2l, Ridgewood, NY 11385-2925 | 2012-08-02 |
| 1134492366 | Lucy Pecorella | Social Worker | 360 Onderdonk Ave, Ridgewood, NY 11385-1321 | 2012-02-19 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.