Provider Demographics
NPI:1811777147
Name:DONIS, AMY BATES (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BATES
Last Name:DONIS
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 1:138 YORK WAY
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2666
Mailing Address - Country:US
Mailing Address - Phone:412-805-8197
Mailing Address - Fax:
Practice Address - Street 1:138 YORK WAY
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2666
Practice Address - Country:US
Practice Address - Phone:412-805-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0165441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical