Provider Demographics
NPI:1992186167
Name:PRYWES, DONNA S (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:S
Last Name:PRYWES
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 1:9 HERITAGE HLS UNIT D
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-1244
Mailing Address - Country:US
Mailing Address - Phone:914-723-0125
Mailing Address - Fax:914-617-9311
Practice Address - Street 1:9 HERITAGE HLS UNIT D
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-1244
Practice Address - Country:US
Practice Address - Phone:914-723-0125
Practice Address - Fax:914-617-9311
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-14
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073451-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical