Provider Demographics
NPI:1053327916
Name:HERMAN, DONNA J (CSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:J
Last Name:HERMAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 MANVILLE RD STE 1U
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2153
Mailing Address - Country:US
Mailing Address - Phone:914-693-1644
Mailing Address - Fax:
Practice Address - Street 1:343 MANVILLE RD STE 1U
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2153
Practice Address - Country:US
Practice Address - Phone:914-693-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0166511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0098078OtherGHI
NYWS732OtherOXFORD
NYP2751211OtherOXFORD NEW YORK CITY
NYN31291Medicare ID - Type Unspecified