Provider Demographics
NPI:1831506807
Name:MCLEOD, DONALD BION II (LLMSW, IDP)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:BION
Last Name:MCLEOD
Suffix:II
Gender:M
Credentials:LLMSW, IDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 COLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-9100
Mailing Address - Country:US
Mailing Address - Phone:989-670-0451
Mailing Address - Fax:
Practice Address - Street 1:852 S HOOPER ST
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1757
Practice Address - Country:US
Practice Address - Phone:989-672-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801097179104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker