Provider Demographics
NPI:1649517137
Name:SEARLE, DONNA LYNN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:LYNN
Last Name:SEARLE
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 1:727 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1507
Mailing Address - Country:US
Mailing Address - Phone:757-595-3455
Mailing Address - Fax:757-595-3456
Practice Address - Street 1:727 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1507
Practice Address - Country:US
Practice Address - Phone:757-595-3455
Practice Address - Fax:757-595-3456
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040019531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical