Provider Demographics
NPI:1073354098
Name:DONAN, KATHARINE ANN (CSW)
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:ANN
Last Name:DONAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 LELAND RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2007
Mailing Address - Country:US
Mailing Address - Phone:307-690-6385
Mailing Address - Fax:
Practice Address - Street 1:4013 LELAND RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2007
Practice Address - Country:US
Practice Address - Phone:307-690-6385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2583321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical