JENAVIEVE DONNELLY LCSW
NPI 1093032591
Social Worker - Clinical in Los Angeles, CA

Active since April 23, 2010Opted out of Medicare · through Apr 1, 2028
4929 WILSHIRE BLVD STE 500, LOS ANGELES, CA 90010(800) 275-3243 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenavieve Donnelly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENAVIEVE DONNELLY LCSW (NPI 1093032591) is an individual clinical provider in Los Angeles, California, licensed in California (24561) and active in the NPI registry since April 2010. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1093032591
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENAVIEVE DONNELLYCredential: LCSW
Location Address4929 WILSHIRE BLVD STE 500Los Angeles, CA 90010-3820
Mailing Address422 Windward DrMurphy, TX 75094-5337 · (619) 249-1173
Sole ProprietorYes
Enumeration DateApril 23, 2010
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
NPI 1093032591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 24561
Definition
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.
4929 WILSHIRE BLVD STE 500, Los Angeles, CA 90010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jenavieve Donnelly Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4929 WILSHIRE BLVD STE 500
LOS ANGELES, CA 90010
Social Worker (Clinical)
4929 WILSHIRE BLVD STE 500
LOS ANGELES, CA 90010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenavieve Donnelly's NPI number?

The NPI number for Jenavieve Donnelly is 1093032591. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Jenavieve Donnelly located?

Jenavieve Donnelly practices at 4929 Wilshire Blvd Ste 500, Los Angeles, CA 90010. The listed phone number is (800) 275-3243.

What is Jenavieve Donnelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jenavieve Donnelly enrolled in Medicare?

No. Jenavieve Donnelly has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jenavieve Donnelly accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jenavieve Donnelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenavieve Donnelly was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.