Provider Demographics
NPI:1861030181
Name:D'ANDREA, DONNA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN
Last Name:D'ANDREA
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 1:307 ORENDA CIR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2905
Mailing Address - Country:US
Mailing Address - Phone:908-377-3890
Mailing Address - Fax:
Practice Address - Street 1:307 ORENDA CIR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2905
Practice Address - Country:US
Practice Address - Phone:908-377-3890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR075404-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical