Provider Demographics
NPI:1235851049
Name:DONALDSON, ANN S (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:S
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 CRUGER AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6407
Mailing Address - Country:US
Mailing Address - Phone:917-743-0325
Mailing Address - Fax:
Practice Address - Street 1:3212 CRUGER AVE APT 2A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6407
Practice Address - Country:US
Practice Address - Phone:917-743-0325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health