Provider Demographics
NPI:1134466659
Name:CONNORS, DONNA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ANN
Last Name:CONNORS
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 1:11104 AMESITE TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-2419
Mailing Address - Country:US
Mailing Address - Phone:512-422-5514
Mailing Address - Fax:
Practice Address - Street 1:11104 AMESITE TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-2419
Practice Address - Country:US
Practice Address - Phone:512-422-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX418781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical