Provider Demographics
NPI:1679858351
Name:VOOR, DONNA GERMAIN (ACSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:GERMAIN
Last Name:VOOR
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53700 GENERATIONS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1587
Mailing Address - Country:US
Mailing Address - Phone:574-258-6300
Mailing Address - Fax:574-258-6310
Practice Address - Street 1:53700 GENERATIONS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1587
Practice Address - Country:US
Practice Address - Phone:574-258-6300
Practice Address - Fax:574-258-6310
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003688A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical