Active NPIIndividual providerSole proprietor

Mr. Mark Donahue, LICSW

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1841443801
Practice location
130 Birge St, Brattleboro, VT 05301-6460
Fax
—
Last updated
February 12, 2009

Mark Donahue is a Social Worker, Clinical based in Brattleboro, VT. Mark Donahue practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Mark Donahue is 1841443801 and holds a License No. 089001259 (VT). The current practice location address for Mark Donahue is 130 Birge St, Brattleboro, VT 05301-6460 and can be reached out via phone at 802-254-3742.

Provider Profile Details

NPI Number
1841443801
Provider Name
Mark Donahue
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
130 Birge St, Brattleboro, VT 05301-6460
Phone Number
802-254-3742
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 3, 2008
Last Update Date
February 12, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Birge St
Brattleboro, VT 05301-6460
State
Vermont
Zip
05301-6460
Phone Number
802-254-3742
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
97 Winter St
Brattleboro, VT 05301-6666
City
Brattleboro
State
VT
Zip
05301-6666
Phone Number
802-451-1084

License Information

License Number
089001259
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark Donahue, LICSW?

The NPI number of Mr. Mark Donahue, LICSW is 1841443801. It was assigned on November 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark Donahue, LICSW?

Mr. Mark Donahue, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089001259.

Where does Mr. Mark Donahue, LICSW practice?

The practice location is 130 Birge St, Brattleboro, VT 05301-6460. The office can be reached at 802-254-3742 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841443801 directly on the NPPES registry website.

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