Provider Demographics
NPI:1396072013
Name:STALLINGS, DONNETTA (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNETTA
Middle Name:
Last Name:STALLINGS
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 1:13720 231ST ST
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2831
Mailing Address - Country:US
Mailing Address - Phone:718-978-0335
Mailing Address - Fax:
Practice Address - Street 1:2604 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-1117
Practice Address - Country:US
Practice Address - Phone:646-393-9680
Practice Address - Fax:646-393-9678
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker