Provider Demographics
NPI:1275684805
Name:CARDINAL, DONNA (LCSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CARDINAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:CHESBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:27 JUNCTION ROAD
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1248
Mailing Address - Country:US
Mailing Address - Phone:717-446-4275
Mailing Address - Fax:856-252-0797
Practice Address - Street 1:27 JUNCTION ROAD
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-3217
Practice Address - Country:US
Practice Address - Phone:717-446-4275
Practice Address - Fax:856-252-0797
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052236001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical