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NPI Code Detail

MEDICARE: KATE DONNALLY LICSW, LLC

MEDICARE: KATE DONNALLY LICSW, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1942150693
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATE DONNALLY LICSW, LLC
Provider Business Mailing Address
First Line : PO BOX 394
Second Line :
City : HYDE PARK
State : VT
Zip : 05655-0394
Country : US
Telephone Number : 802-777-8148
Fax Number :
Provider Business Practice Location Address
First Line : 200 PARK ST
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-9098
Country : US
Telephone Number : 802-777-8148
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATE DONNALLY
Credential : LICSW
Telephone Number : 802-777-8148
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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