Provider Demographics
NPI:1467465815
Name:HANSBURY, DONNA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:HANSBURY
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:95 MOUNT KEMBLE AVE
Mailing Address - Street 2:ATTN: C. LAMPRON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5155
Mailing Address - Country:US
Mailing Address - Phone:973-451-0246
Mailing Address - Fax:973-451-0166
Practice Address - Street 1:150 MORRISTOWN RD
Practice Address - Street 2:PLAZA 202, SUITE 203
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2626
Practice Address - Country:US
Practice Address - Phone:908-766-1000
Practice Address - Fax:908-766-1000
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC012943001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ054049Medicare UPIN