Provider Demographics
NPI:1538489349
Name:LERNER, DONNA A (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:A
Last Name:LERNER
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:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-0555
Mailing Address - Country:US
Mailing Address - Phone:209-742-3143
Mailing Address - Fax:209-742-4695
Practice Address - Street 1:5320 HIGHWAY 49 NORTH
Practice Address - Street 2:SUITE 1B
Practice Address - City:MARIPOSA
Practice Address - State:CA
Practice Address - Zip Code:95338
Practice Address - Country:US
Practice Address - Phone:209-742-3143
Practice Address - Fax:209-742-4695
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical