Provider Demographics
NPI:1932689874
Name:PEARCE, DONNA KESLER
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KESLER
Last Name:PEARCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W BOYLSTON DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2753
Mailing Address - Country:US
Mailing Address - Phone:508-793-8000
Mailing Address - Fax:508-754-9803
Practice Address - Street 1:DEPARTMENT OF CHILDREN AND FAMILIES
Practice Address - Street 2:151 WEST BOYLSTON DRIVE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606
Practice Address - Country:US
Practice Address - Phone:508-793-8000
Practice Address - Fax:508-754-9803
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120469104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker