Provider Demographics
NPI:1497983944
Name:DRUCKER, DONNA REICHERT (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:REICHERT
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:LEE
Other - Last Name:DRUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:18090 PARK TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-1622
Mailing Address - Country:US
Mailing Address - Phone:561-706-4588
Mailing Address - Fax:
Practice Address - Street 1:2900 N MILITARY TRL
Practice Address - Street 2:SUITE 165
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6365
Practice Address - Country:US
Practice Address - Phone:561-706-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6764104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker