Provider Demographics
NPI:1285629378
Name:STRAUSS, DONALD WILLIAM (PHD,)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WILLIAM
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:PHD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 DULANEY VALLEY ROAD
Mailing Address - Street 2:744 DULANEY VALLEY ROAD # 17
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5132
Mailing Address - Country:US
Mailing Address - Phone:410-825-2009
Mailing Address - Fax:410-825-0004
Practice Address - Street 1:744 DULANEY VALLEY ROAD
Practice Address - Street 2:744 DULANEY VALLEY ROAD # 17
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5132
Practice Address - Country:US
Practice Address - Phone:410-825-2009
Practice Address - Fax:410-825-0004
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCSWC28051041C0700X
MD2805104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS964Medicare UPIN
MDS964Q570Medicare PIN
S964Q570Medicare PIN