Provider Demographics
NPI:1407907967
Name:DONOHUE-WATSON, MAUREEN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:DONOHUE-WATSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27518 WELLSLEY WAY
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1603
Mailing Address - Country:US
Mailing Address - Phone:661-373-1465
Mailing Address - Fax:661-775-8492
Practice Address - Street 1:28494 WESTINGHOUSE PL STE 313
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0936
Practice Address - Country:US
Practice Address - Phone:661-373-1465
Practice Address - Fax:661-775-8492
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS223701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical