Provider Demographics
NPI:1134260144
Name:LALUYA, DONNA ELAINE (LCSW)
Entity type:Individual
Prefix:MR
First Name:DONNA
Middle Name:ELAINE
Last Name:LALUYA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:ELAINE
Other - Last Name:LALUYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NONE
Mailing Address - Street 1:11919 E DEL TIMBRE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-6336
Mailing Address - Country:US
Mailing Address - Phone:630-780-7214
Mailing Address - Fax:
Practice Address - Street 1:11919 E DEL TIMBRE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-6336
Practice Address - Country:US
Practice Address - Phone:630-780-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.009746104100000X
AZLCSW-17733104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker