Provider Demographics
NPI:1790528040
Name:DONOHUE, STEVEN C (LSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:DONOHUE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 MAIN ROAD
Mailing Address - Street 2:APT. A
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082
Mailing Address - Country:US
Mailing Address - Phone:201-306-1884
Mailing Address - Fax:
Practice Address - Street 1:145 DECKER RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1570
Practice Address - Country:US
Practice Address - Phone:862-801-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07130900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty