Provider Demographics
NPI:1508030933
Name:ONI, DAMIANA K (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:DAMIANA
Middle Name:K
Last Name:ONI
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 1:1275 OPIE LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-2737
Mailing Address - Country:US
Mailing Address - Phone:770-237-9840
Mailing Address - Fax:678-524-4688
Practice Address - Street 1:1275 OPIE LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-2737
Practice Address - Country:US
Practice Address - Phone:770-237-9840
Practice Address - Fax:678-524-4688
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0038361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical