Provider Demographics
NPI:1235105339
Name:HITT, DONNA (LCSW, MSW, CDP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:HITT
Suffix:
Gender:F
Credentials:LCSW, MSW, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 KALA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-9501
Mailing Address - Country:US
Mailing Address - Phone:360-556-7678
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR
Practice Address - Street 2:ATTN: CAFAC/CAFBHS BLDG 9923A
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4635
Practice Address - Fax:253-968-6888
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW009401041C0700X
WAMAC 507524101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)