Provider Demographics
NPI:1780008896
Name:ZINN, DONNA JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:ZINN
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 1:600 N WEINBACH AVE STE 730
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5977
Mailing Address - Country:US
Mailing Address - Phone:812-431-3295
Mailing Address - Fax:812-402-0388
Practice Address - Street 1:600 N WEINBACH AVE STE 730
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5977
Practice Address - Country:US
Practice Address - Phone:812-431-3295
Practice Address - Fax:812-402-0388
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100240880Medicaid
IN839090018OtherMEDICARE
IN000000968323OtherANTHEM
12656659OtherCAQH