Provider Demographics
NPI:1750180154
Name:DONAHUE, REBECCA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12412 QUAIL WOODS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1544
Mailing Address - Country:US
Mailing Address - Phone:301-388-8112
Mailing Address - Fax:833-427-1432
Practice Address - Street 1:12412 QUAIL WOODS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1544
Practice Address - Country:US
Practice Address - Phone:301-388-8112
Practice Address - Fax:833-427-1432
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17607104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker