Provider Demographics
NPI:1104835081
Name:DONALD, MARGARET MICHELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MICHELLE
Last Name:DONALD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-8702
Mailing Address - Country:US
Mailing Address - Phone:601-442-5815
Mailing Address - Fax:601-443-2885
Practice Address - Street 1:54 SEARGENT S PRENTISS DR
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39121-1488
Practice Address - Country:US
Practice Address - Phone:601-443-2120
Practice Address - Fax:601-443-2885
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC3968104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC3968OtherMS STATE BOARD SOCIAL WOR