Provider Demographics
NPI:1790031862
Name:GILSINAN, DONNA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:GILSINAN
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 1:667 DELTONA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:667 DELTONA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8022
Practice Address - Country:US
Practice Address - Phone:800-614-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical