Provider Demographics
NPI:1417609892
Name:KLINGER, DONNYEL ELAINE (LLMSW)
Entity Type:Individual
Prefix:MS
First Name:DONNYEL
Middle Name:ELAINE
Last Name:KLINGER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3467
Mailing Address - Country:US
Mailing Address - Phone:269-350-1812
Mailing Address - Fax:269-345-4011
Practice Address - Street 1:181 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3467
Practice Address - Country:US
Practice Address - Phone:269-350-1812
Practice Address - Fax:269-345-4011
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511094061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical