MEDICARE: MS. AMY E. DONOGHUE LCSW

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
1	1041C0700X	Clinical Social Worker	075085	NY
2	1041C0700X	Clinical Social Worker	44SC05831700	NJ

General Provider Information

NPI Number	:	1841343498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY E. DONOGHUE LCSW

Provider Business Mailing Address
First Line	:	83 MAIDEN LN
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-4812
Country	:	US
Telephone Number	:	718-484-8940
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MORRISTOWN RD STE 108
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2626
Country	:	US
Telephone Number	:	917-664-6466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	06/04/2025

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