Provider Demographics
NPI:1568648426
Name:SPRINGER, DONNA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:SPRINGER
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 1:1630 WELLBORN RD
Mailing Address - Street 2:PO BOX 623
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5432
Mailing Address - Country:US
Mailing Address - Phone:770-484-3075
Mailing Address - Fax:
Practice Address - Street 1:1630 WELLBORN RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5432
Practice Address - Country:US
Practice Address - Phone:770-484-3075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0036331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical