Provider Demographics
NPI:1487728846
Name:LEMAY, DONNA E (LICSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:E
Last Name:LEMAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8351
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:VT
Mailing Address - Zip Code:05451-8351
Mailing Address - Country:US
Mailing Address - Phone:802-274-8755
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 8351
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:VT
Practice Address - Zip Code:05451-8351
Practice Address - Country:US
Practice Address - Phone:802-274-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00010561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT03036OtherCBA
VT1012044Medicaid
VT824168000OtherMAGELLAN
VT390539OtherMVP