MR. KEVIN RICHARD DONNELLY (NPI# 1780989004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780989004 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RICHARD DONNELLY |
| Credential | MSW, LCSW |
| Practice Address |
4035 University Pkwy Suite 101 Winston Salem NC 27106-3276 |
| Mailing Address |
3919 Avera Ave Winston Salem NC 27106-1601 |
| Practice Telephone | 3363971560 |
| Mailing Telephone | 3365755776 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007123 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020557 | Kevin J Donnelly | Specialist | Suncoast Ent Surgical Specialists, 4714 N Armenia Ave. Ste 200, Tampa, FL 33603-2603 | 2005-08-15 |
| 1366805517 | Kevin Donnelly | Internal Medicine | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2016-04-04 |
| 1114338449 | Kevin Donnelly | Anesthesiology | 1 Mill River Ln Apt 105, Ardsley, NY 10502-1545 | 2014-05-08 |
| 1730408436 | Kevin Patrick Donnelly | Family Medicine | 1166 K St, Brawley, CA 92227-2737 | 2010-05-20 |
| 1497968598 | Kevin Mark Donnelly | Physical Therapist | 2210 Se 17th St, 302, Ocala, FL 34471-9144 | 2007-05-07 |
| 1073649091 | Kevin Michael Donnelly | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2007-02-26 |
| 1316003551 | Kevin Joseph Donnelly | Psychologist | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2006-12-30 |
| 1609947373 | Kevin B Donnelly | Chiropractor | 7301 W National Ave, West Allis, WI 53214-4737 | 2006-11-13 |
| 1790712388 | Kevin Donnelly | Family Medicine | 1301 33rd St S, St Cloud, MN 56301 | 2006-06-27 |
| Street Address |
4035 UNIVERSITY PKWY SUITE 101 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149142 | Jessica Kowalski Price | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106 | 2016-12-27 |
| 1801347794 | Andrew Jonathan Dunleavy | Social Worker | 4035 University Pkwy, Winston Salem, NC 27106-3276 | 2016-10-17 |
| 1003284852 | Pinnacle Family Services of North Carolina LLC | Counselor | 4035 University Pkwy, Ste 101, Winston Salem, NC 27106-3276 | 2015-09-10 |
| 1740600634 | Melinda Snyder | Counselor | 4035 University Pkwy, Winston Salem, NC 27106-3276 | 2014-04-18 |
| 1003236050 | Institute for Family Centered Services | Early Intervention Provider Agency | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2014-04-17 |
| 1114360294 | Jill Annamarie Murdock | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2013-04-09 |
| 1114278546 | Leslie Mann | Marriage & Family Therapist | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2012-09-25 |
| 1346526860 | National Mentor Healthcare, LLC | Public Health or Welfare | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2011-10-28 |
| 1598067126 | Lisa Friebele Morris | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2010-12-02 |
| 1689818510 | Institute for Family Centered Services | Community/Behavioral Health | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884362 | Ranesha Denae Boyd | Social Worker | 2270 Naomi Dr, Winston Salem, NC 27107-4602 | 2020-09-01 |
| 1326665563 | Kristy Dobbins | Social Worker | 3240 Trenchard Ln, Winston Salem, NC 27127-5927 | 2020-07-04 |
| 1033731781 | Robert D Worley | Social Worker | 480 Virginia Newell Ln, Winston Salem, NC 27101-4575 | 2020-05-15 |
| 1659900793 | Peaty Counseling and Consulting, Pllc | Social Worker | 1250 Foxhall Dr, Winston Salem, NC 27106-4436 | 2020-04-01 |
| 1407482862 | Jaime Wright | Social Worker | 3000 Bethesda Pl Ste 801, Winston Salem, NC 27103-3330 | 2020-03-18 |
| 1043778210 | Bernice Cook | Social Worker | 2223 Greenway Ave, Winston Salem, NC 27105-5120 | 2019-03-06 |
| 1285103812 | Kimberley Renee Hunt | Social Worker | 4711 Seminole Ct, Winston Salem, NC 27127-9432 | 2018-11-13 |
| 1619459864 | Shadae T Williams | Social Worker | 1224 Collegian Ter, Winston Salem, NC 27106-6340 | 2018-09-04 |
| 1104321017 | Melanie Carol Mccarthy | Social Worker | 1202 Miller St, Winston Salem, NC 27103-4445 | 2018-03-25 |
| 1417459371 | Awakenings Counseling | Social Worker | 770 Highland Oaks Dr # 100, Winston Salem, NC 27103-7105 | 2018-03-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.