Provider Demographics
NPI:1164604955
Name:DONAHUE, NOREEN FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:FRANCES
Last Name:DONAHUE
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 1:33 SE 7TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-6125
Mailing Address - Country:US
Mailing Address - Phone:561-391-0365
Mailing Address - Fax:561-391-0365
Practice Address - Street 1:33 SE 7TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-6125
Practice Address - Country:US
Practice Address - Phone:561-391-0365
Practice Address - Fax:561-391-0365
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2011-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW65331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6838Medicare UPIN