Provider Demographics
NPI:1558543470
Name:DONAHOO-HATCHELL, LAUREN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:DONAHOO-HATCHELL
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 1:12011 GOVERNMENT CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22035-1100
Mailing Address - Country:US
Mailing Address - Phone:703-324-7000
Mailing Address - Fax:
Practice Address - Street 1:12011 GOVERNMENT CENTER PKWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22035-1100
Practice Address - Country:US
Practice Address - Phone:703-324-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040012561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical