Provider Demographics
NPI:1144585407
Name:HAMPTON, DONCELLA FRANCES (LICSW)
Entity Type:Individual
Prefix:
First Name:DONCELLA
Middle Name:FRANCES
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 GRASON LN
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1724
Mailing Address - Country:US
Mailing Address - Phone:301-706-7878
Mailing Address - Fax:
Practice Address - Street 1:1630 GRASON LN
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1724
Practice Address - Country:US
Practice Address - Phone:301-706-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500786511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical