Provider Demographics
NPI:1083901540
Name:DUSCHEN, DONNA J (LCSW, LMSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:DUSCHEN
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:JENNINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LMSW
Mailing Address - Street 1:3101 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2659
Mailing Address - Country:US
Mailing Address - Phone:816-456-9351
Mailing Address - Fax:816-960-2855
Practice Address - Street 1:3101 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2659
Practice Address - Country:US
Practice Address - Phone:816-456-9351
Practice Address - Fax:816-960-2855
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6903104100000X
MO20010053781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker