Provider Demographics
NPI:1831465616
Name:DALEY, DONNETT ARLINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNETT
Middle Name:ARLINE
Last Name:DALEY
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 1:3507 LEE BLVD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971
Mailing Address - Country:US
Mailing Address - Phone:239-223-6199
Mailing Address - Fax:239-482-7897
Practice Address - Street 1:3507 LEE BLVD
Practice Address - Street 2:SUITE 245
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971
Practice Address - Country:US
Practice Address - Phone:239-223-6199
Practice Address - Fax:239-482-7897
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW10318104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker