Provider Demographics
NPI:1255325767
Name:ZANGARA, DONNA ARLENE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ARLENE
Last Name:ZANGARA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2584
Mailing Address - Country:US
Mailing Address - Phone:781-861-9330
Mailing Address - Fax:781-862-8310
Practice Address - Street 1:19 MUZZEY ST
Practice Address - Street 2:#303
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5256
Practice Address - Country:US
Practice Address - Phone:781-862-8310
Practice Address - Fax:781-862-8310
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1049911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO3306Medicare ID - Type UnspecifiedMEDICARE - PROVIDER ID
MAP03306Medicare UPIN
MA719814Medicare UPIN