Provider Demographics
NPI:1063779254
Name:DONKIN, LAURA GLASER (LCSW-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:GLASER
Last Name:DONKIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 FIRST PARK TEN BLVD
Mailing Address - Street 2:STE. 222
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4308
Mailing Address - Country:US
Mailing Address - Phone:210-496-2323
Mailing Address - Fax:888-496-3340
Practice Address - Street 1:6655 FIRST PARK TEN BLVD
Practice Address - Street 2:STE. 222
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4308
Practice Address - Country:US
Practice Address - Phone:210-496-2323
Practice Address - Fax:888-496-3340
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD142971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical