Provider Demographics
NPI:1851414064
Name:MORGAN, DONNA R (CSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:R
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:R
Other - Last Name:CAPWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:437 RAILROAD STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017
Mailing Address - Country:US
Mailing Address - Phone:412-221-3302
Mailing Address - Fax:412-221-5229
Practice Address - Street 1:437 RAILROAD STREET
Practice Address - Street 2:CHARTIERS MHIMR CENTER
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017
Practice Address - Country:US
Practice Address - Phone:412-221-3302
Practice Address - Fax:412-221-5229
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0139741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10002895Medicaid
PA10002895Medicaid
PA067496F64Medicare ID - Type Unspecified