Provider Demographics
NPI:1851456339
Name:WINSTEAD, DONNA LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNN
Last Name:WINSTEAD
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 1:4271 WESTERLY CT
Mailing Address - Street 2:
Mailing Address - City:ELM CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27822-8789
Mailing Address - Country:US
Mailing Address - Phone:252-291-7636
Mailing Address - Fax:252-443-9316
Practice Address - Street 1:1600 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:ROCKY MT
Practice Address - State:NC
Practice Address - Zip Code:27804-4337
Practice Address - Country:US
Practice Address - Phone:252-443-9314
Practice Address - Fax:252-443-9316
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0018821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC001882OtherLICENSED CLINICAL SOCIAL