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MR. KEVAN LARES DONAGHY LMSW
NPI 1164732848
Social Worker - Clinical in Syracuse, NY

Active since October 15, 2010PECOS Enrolled
650 MADISON ST, SECOND FLOOR, SYRACUSE, NY 13210(315) 426-7694(315) 426-6888 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevan Lares Donaghy Lmsw NPPES

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

MR. KEVAN LARES DONAGHY LMSW (NPI 1164732848) is an individual clinical provider in Syracuse, New York, licensed in New York (081840) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164732848
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVAN LARES DONAGHYCredential: LMSW
Location Address650 MADISON ST, SECOND FLOORSyracuse, NY 13210-2319
Mailing Address165 S Edwards AveSyracuse, NY 13206-2912 · (315) 569-0339
Phone(315) 426-7694
Fax(315) 426-6888
Sole ProprietorNo
Enumeration DateOctober 15, 2010
✔ NPI 1164732848 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 NY · 081840
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.
650 MADISON ST, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevan Lares Donaghy Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. JENNIFER MARIE WALTON LCSW
Social Worker (Clinical)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7739
EMILY RUSSELL LMSW
Social Worker
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7737
JESSICA G ALLING
Registered Nurse (Psychiatric/Mental Health)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
HUTCHINGS PSYCHIATRIC CENTER
Psychiatric Hospital
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7680
MS. MARIA RENEE HAYDUKE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7728
DANIEL PETER PONTILLO M.S.
Counselor (Mental Health)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7694
AMBER SMOROL RN
Psychiatry & Neurology (Psychiatry)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3957
MS. SUSAN A. ERRICO LMSW
Social Worker (Clinical)
650 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7732

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 Kevan Donaghy's NPI number?

The NPI number for Kevan Donaghy is 1164732848. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Kevan Donaghy located?

Kevan Donaghy practices at 650 Madison St Second Floor, Syracuse, NY 13210. The listed phone number is (315) 426-7694.

What is Kevan Donaghy's specialty?

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

Is Kevan Donaghy enrolled in Medicare?

Yes. Kevan Donaghy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevan Donaghy was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.