Provider Demographics
NPI:1235245945
Name:CONROY, DONALD THOMAS JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:THOMAS
Last Name:CONROY
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 NW 25TH PL
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5357
Mailing Address - Country:US
Mailing Address - Phone:954-345-0845
Mailing Address - Fax:
Practice Address - Street 1:8515 NW 25TH PL
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5357
Practice Address - Country:US
Practice Address - Phone:954-345-0845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 8349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health