Provider Demographics
NPI:1063160398
Name:DONAHUE, NANCY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELIZABETH
Last Name:DONAHUE
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 1:1137 TECUMSEH PL
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2039
Mailing Address - Country:US
Mailing Address - Phone:646-785-3078
Mailing Address - Fax:732-714-0968
Practice Address - Street 1:1137 TECUMSEH PL
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2039
Practice Address - Country:US
Practice Address - Phone:646-785-3078
Practice Address - Fax:732-714-0968
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052961001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty