Provider Demographics
NPI:1588146989
Name:FEINBERG RACHWAL, DONNA GAIL (LICSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:GAIL
Last Name:FEINBERG RACHWAL
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 1:35 SHAWMUT RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1408
Mailing Address - Country:US
Mailing Address - Phone:781-830-1262
Mailing Address - Fax:781-830-4320
Practice Address - Street 1:35 SHAWMUT RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1408
Practice Address - Country:US
Practice Address - Phone:781-830-1262
Practice Address - Fax:781-830-4320
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030472101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor