Provider Demographics
NPI:1396851010
Name:ROBILLARD, DONNA S (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:S
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-486-8600
Mailing Address - Fax:405-752-3598
Practice Address - Street 1:4401 W MEMORIAL RD
Practice Address - Street 2:SUITE 143
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1785
Practice Address - Country:US
Practice Address - Phone:405-486-8600
Practice Address - Fax:405-752-3598
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical