Provider Demographics
NPI:1750411377
Name:BLASCHKE, DONNA SCHUMACHER (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:SCHUMACHER
Last Name:BLASCHKE
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 255472
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-5472
Mailing Address - Country:US
Mailing Address - Phone:916-734-3497
Mailing Address - Fax:916-734-0415
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:PSSB 1300 UC DAVIS MEDICAL CENTER
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-3497
Practice Address - Fax:916-734-0415
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS216191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical