Provider Demographics
NPI:1437289212
Name:DONNELLY, PAULA (MSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:DONNELLY
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 1:140 SILVERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-2140
Mailing Address - Country:US
Mailing Address - Phone:831-521-2282
Mailing Address - Fax:
Practice Address - Street 1:137 CENTRAL AVE
Practice Address - Street 2:SUITE 5A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2656
Practice Address - Country:US
Practice Address - Phone:831-521-2282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS #202501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical