Provider Demographics
NPI:1851453617
Name:CAMEROTA, DONNA J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:J
Last Name:CAMEROTA
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 1:101 SOUTH ST
Mailing Address - Street 2:UNIT 57
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4410
Mailing Address - Country:US
Mailing Address - Phone:860-268-2277
Mailing Address - Fax:
Practice Address - Street 1:444 CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-3926
Practice Address - Country:US
Practice Address - Phone:860-646-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0059631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical