Provider Demographics
NPI:1083924518
Name:RICE, DONNA L (LCSW-C, LICSW, MAC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:RICE
Suffix:
Gender:F
Credentials:LCSW-C, LICSW, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 AVIRETT AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3311
Mailing Address - Country:US
Mailing Address - Phone:240-291-4251
Mailing Address - Fax:301-722-0500
Practice Address - Street 1:514 AVIRETT AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3311
Practice Address - Country:US
Practice Address - Phone:301-722-5500
Practice Address - Fax:301-722-0500
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD154891041C0700X
MD27026101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)