Provider Demographics
NPI:1225709132
Name:DONOFRIO, CLARE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:DONOFRIO
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4504
Mailing Address - Country:US
Mailing Address - Phone:443-791-3113
Mailing Address - Fax:
Practice Address - Street 1:3244 DANMARK DR
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:MD
Practice Address - Zip Code:21738-9415
Practice Address - Country:US
Practice Address - Phone:443-791-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD243301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical