Provider Demographics
NPI:1932682291
Name:MAGLIOZZI, DONNA LEVINE (MSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEVINE
Last Name:MAGLIOZZI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SEXTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2824
Mailing Address - Country:US
Mailing Address - Phone:781-864-9349
Mailing Address - Fax:
Practice Address - Street 1:75 ABINGTON ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4314
Practice Address - Country:US
Practice Address - Phone:339-201-4525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1015843101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool