ROBERTA DONOVAN (LISW) – Mental Health Counselor, NPI 1649444357

ROBERTA DONOVAN (LISW) is a healthcare provider. based in Celina, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I.0500053 (OH). The NPI Number for ROBERTA DONOVAN (LISW) is 1649444357

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA DONOVAN (LISW)
NPI
1649444357
Phone
(419) 584-1000
Address
4761 STATE ROUTE 29
Enumeration Date
15 April 2008
Last Update Date
15 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195841000
Graduation Year
2005 (21 years ago)
PAC ID
4082840350
Group Practice PAC ID
0143204172
Professional Enrollment ID
I20131114000519
Address ID
OH458228216CE4761X29XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for ROBERTA DONOVAN (LISW)

  • 4761, SR 29, Celina, Mercer County, Ohio, 45822, United States

    CELINA, OH 458228216

    Phone: (419) 584-1000

    Fax: (419) 584-1825

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131114000519IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45822)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143204172View full group profile
NameSpecialtyState
Clinical Social WorkerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check ROBERTA DONOVAN (LISW) using NPI 1649444357?
NPI 1649444357 belongs to ROBERTA DONOVAN (LISW); compare other details if you need extra assurance.
Active or inactive — what applies to ROBERTA DONOVAN (LISW)?
You should see ROBERTA DONOVAN (LISW) as active in CMS-hosted NPPES data.
What area of care is associated with ROBERTA DONOVAN (LISW)?
ROBERTA DONOVAN (LISW)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERTA DONOVAN (LISW)?
Directory geography for ROBERTA DONOVAN (LISW) centers on Celina, Ohio.
Can I trust this NPI listing for ROBERTA DONOVAN (LISW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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