Provider Demographics
NPI:1881804763
Name:MARTEL, DONNA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:MARTEL
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 1:17 WATERHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:ME
Mailing Address - Zip Code:04005-7333
Mailing Address - Country:US
Mailing Address - Phone:207-451-3283
Mailing Address - Fax:
Practice Address - Street 1:17 WATERHOUSE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:ME
Practice Address - Zip Code:04005-7333
Practice Address - Country:US
Practice Address - Phone:207-451-3283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC68431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical